# GERARD V LASALLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376587899
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | MD00017511 | WA | — |
| 208D00000X | General Practice Physician | MD00017511 | WA | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 11/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0170816 | LIWA | WA |
| 01 | — | 0170825 | LIWA | WA |
| 01 | — | 0190073 | LIWA | WA |
| 01 | — | 2165LA | BSWA | WA |
| 05 | — | 8328601 | — | WA |
| 01 | — | LA1174 | BSWA | WA |
| 01 | — | LA8001 | BSWA | WA |