Individual
JUSTIN LASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
225 S CENTER AVE, SOMERSET, PA 15501-2033
(814) 443-5000
Mailing address
PO BOX 150, MEYERSDALE, PA 15552-0150
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
98303
WV
163WC0200X
Critical Care Medicine Registered Nurse
RN670587
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
115510
WV
Other
Enumeration date
11/28/2022
Last updated
03/25/2025
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