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Individual

DR. CARLOS LASMARIAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4015 DAVISON RD, BURTON, MI 48509-1401
(810) 743-5100
(810) 742-8911
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301062495
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1002050
HEALTH ADVANTAGE NETWORK
MI
01
1602532292
HEALTHPLUS
MI
05
4416501
MI
01
4420143
AETNA
MI
01
F64929
HAP
MI
Enumeration date
11/25/2005
Last updated
07/08/2007
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