Individual
MRS. MARGARITA LASSALETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 WADSWORTH RD, SUITE 2E, WADSWORTH, OH 44281-8330
(330) 336-5046
(330) 336-5052
Mailing address
185 WADSWORTH RD, SUITE 2E, WADSWORTH, OH 44281-8330
(330) 336-5046
(330) 336-5052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35-067706
OH
207Q00000X
Family Medicine Physician
Primary
35-067706
OH
207V00000X
Obstetrics & Gynecology Physician
35-067706
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000309393
ABCBS
—
05
—
2045085
—
OH
01
—
590852
ATENA
OH
Enumeration date
09/15/2006
Last updated
10/26/2012
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