Individual
RICHARD JOHN LASSERE
Active
Individual
RICHARD JOHN LASSERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
9651486-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003792800
—
ID
01
—
49726
BLUE CROSS
ID
Enumeration date
10/04/2006
Last updated
02/09/2016
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