Individual
DR. GERALD LASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 N WESTMORELAND RD, SUITE 110, LAKE FOREST, IL 60045-1674
(847) 295-1220
(847) 295-1255
Mailing address
900 N WESTMORELAND RD, SUITE 110, LAKE FOREST, IL 60045-1674
(847) 295-1220
(847) 295-1255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36038061
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36038061
—
IL
Enumeration date
06/18/2006
Last updated
06/22/2010
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