Individual
DR. JOHN DAVID LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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