Individual
JOAN L LASSER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 CATAMORE BLVD, RHODE ISLAND MEDICAL IMAGING, EAST PROVIDENCE, RI 02914-1204
(401) 432-2520
(401) 432-2457
Mailing address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914-1204
(401) 432-2520
(401) 432-2457
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5423
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001988
NHPRI
—
01
—
002516
BLUECHIP
—
01
—
005423
BLUESHIELD
—
01
—
1600025
UNITEDHEALTHPLANS
—
01
—
241366
PIHPILGRIM
—
01
—
3200396
MASSMEDICAID
—
01
—
JL01240
RIMEDICALASSITANCE
—
Enumeration date
10/18/2005
Last updated
07/08/2007
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