Individual
MICHAEL STEPHEN LA SALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
777 GLADES RD, BOCA RATON, FL 33431-6496
(561) 297-4828
Mailing address
1730 LAKESHORE DR, WESTON, FL 33326-2374
(954) 850-8781
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1356804512
NY
Other
Enumeration date
04/12/2019
Last updated
06/27/2024
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