Individual
MR. JAMES R LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
950 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1238
(816) 630-6071
(816) 630-4465
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 630-6071
(816) 630-4465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7144
MO
Other
Enumeration date
01/08/2007
Last updated
09/25/2014
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