Lassere, Richard John

Lassere, Richard John is an individual health care provider with primary practice located at 353 N. 4Th 102 , Pocatello ID 83201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Lassere, Richard John can be contacted via phone (208) 478-7900.

Contact Information

Primary practice address
353 N. 4Th 102 Pocatello ID 83201
Phone: (208) 478-7900
Fax: (208) 479-7901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 9651486-1205 Utah

Profile Details

NPI number 1376639948
LBN Legal business name Lassere, Richard John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 9th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376639948 NPPES
Idaho MEDICAID 003792800
Idaho Other 49726

Popular Providers