Individual
DR. JOHN JOSEPH LASSEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 FOUNDERS PARK DRIVE SUITE 3, FOUNDERS PARK CLINIC, RAPID CITY, SD 57701
(605) 791-5959
(605) 791-5960
Mailing address
211 FOUNDERS PARK DRIVE SUITE 3, FOUNDERS PARK CLINIC, RAPID CITY, SD 57701
(605) 791-5959
(605) 791-5960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3437
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5350060
—
SD
Enumeration date
06/30/2006
Last updated
10/29/2015
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