Individual
JAMES E LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-4207
(419) 294-6777
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-4207
(419) 294-6777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.062810
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000364724
ANTHEM BC/BS
—
05
—
0859469
—
OH
Enumeration date
08/02/2005
Last updated
08/15/2008
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