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Individual
TIMOTHY E LASETER
Active
Individual
TIMOTHY E LASETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1625
TN
207P00000X
Emergency Medicine Physician
Primary
N0199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195010701
—
TX
05
—
195010702
—
TX
05
—
3300734
—
TN
01
—
8B8472
BCBS
TX
01
—
8X1238
BCBS
TX
01
—
P00651455
RAILROAD
TX
Enumeration date
06/10/2006
Last updated
02/02/2009
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