Individual
DR. JOHN DAVID LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 COLISEUM DR, STE 300, HAMPTON, VA 23666-5906
(757) 452-3441
(757) 224-1799
Mailing address
4000 COLISEUM DR, STE 300, HAMPTON, VA 23666-5906
(757) 452-3441
(757) 224-1799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101040054
VA
208800000X
Urology Physician
31041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02298
BCBS
NC
05
—
8902298
—
NC
Enumeration date
06/17/2006
Last updated
11/27/2013
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