Individual
JOHN A. LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(866) 420-2244
Mailing address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(866) 420-2244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00033810
WA
208000000X
Pediatrics Physician
MD10751
OR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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