Individual
TERRY LASOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
WALTER REED ARMY MEDICAL CENTER, 6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0001
(202) 782-7580
Mailing address
2157 HARITHY DR, DUNN LORING, VA 22027-1056
(703) 992-8841
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166806
VA
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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