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Individual

PETER LASATER

Active
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Individual

PETER LASATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301105463
MI
207X00000X
Orthopaedic Surgery Physician
65214
MN
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381958736
MI
01
BCBSM
0E06376
Enumeration date
06/17/2014
Last updated
01/28/2026
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