Lasure, Rex D

Lasure, Rex D is an individual health care provider with primary practice located at 40 Medical Park Ste 401 , Wheeling WV 26003-6392. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lasure, Rex D can be contacted via phone (304) 243-3880.

Contact Information

Primary practice address
40 Medical Park Ste 401 Wheeling WV 26003-6392
Fax: (304) 243-3895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12951 West Virginia

Profile Details

NPI number 1710939665
LBN Legal business name Lasure, Rex D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 30th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710939665 NPPES
West Virginia MEDICAID 0056784000

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