Individual
DR. LAWRENCE CHRISTOPHER HASARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 59TH ST W, SUITE D, BRADENTON, FL 34209-7017
(941) 761-8955
(941) 761-8975
Mailing address
2225 59TH ST W, SUITE D, BRADENTON, FL 34209-7017
(941) 761-8955
(941) 761-8975
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME53019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048434200
—
FL
01
—
05878
BCBS
FL
01
—
201145979
TAX ID
FL
01
—
P00142313
MEDICARE RR
FL
Enumeration date
09/01/2005
Last updated
05/12/2010
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