Organization
DR. ANNETTE C. LACASSE, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY A PROST (OFFICE MANAGER)
(248) 363-5555
Entity
Organization
Contact information
Practice address
8906 COMMERCE RD STE 5, COMMERCE TWP, MI 48382-4484
(248) 363-5555
(248) 363-5519
Mailing address
8906 COMMERCE RD STE 5, COMMERCE TWP, MI 48382-4484
(248) 363-5555
(248) 363-5519
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
AL007602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207N00000X
TAXONOMY
MI
Enumeration date
11/20/2006
Last updated
04/11/2008
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