Individual
DR. MICHAEL JOHN LASALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
THE ORCHARD SHOPPING PLAZA, 24 STATE HWY 34 SOUTH, 2ND LEVEL, COLTS NECK, NJ 07722-0000
(732) 625-3889
(732) 625-8389
Mailing address
5 CREST CIRCLE DRIVE, MILLSTONE, NJ 08510
(732) 625-3889
(732) 625-8389
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD2460
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7915802
—
NJ
Enumeration date
01/06/2006
Last updated
01/29/2024
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