Individual
DR. JAMES LASSITER QUERTERMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036137877
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036.137877
IL
207NS0135X
Procedural Dermatology Physician
036.137877
IL
Other
Enumeration date
06/14/2011
Last updated
05/27/2022
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