Individual
CHARLES A LASCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3250 MERIDIAN PKWY, WESTON, FL 33331-3502
(954) 659-5000
(954) 659-5119
Mailing address
3250 MERIDIAN PKWY, WESTON, FL 33331-3502
(954) 659-5000
(954) 659-5119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103606
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME 103606
FL
Other
Enumeration date
03/29/2008
Last updated
07/30/2025
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