Individual
MATTHEW P LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8259
(570) 703-7250
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 703-8259
(570) 703-7250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD492546
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780
ANTHEM
MO
05
—
200055760A
—
OK
05
—
200326410A
—
KS
05
—
207232208
—
MO
05
—
212156801
—
TX
01
—
8CG986
BLUE CROSS BLUE SHIELD
TX
01
—
P00224393
RR MEDICARE
—
01
—
P00881642
RAILROAD MEDICARE
TX
Enumeration date
05/25/2006
Last updated
12/10/2025
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