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Individual

DR. MATTHEW R LASALA

Active
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Individual

DR. MATTHEW R LASALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD18342
OR
207R00000X
Internal Medicine Physician
Primary
MD18342
OR

Other

Enumeration date
10/03/2006
Last updated
04/06/2021
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