Individual
DR. MICHAEL W LASSERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-5381
(304) 872-3989
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-5381
(304) 872-3989
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15349
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160001453
—
WV
Enumeration date
09/29/2005
Last updated
01/13/2010
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