Individual
ANNA LASOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 W 12TH AVE STE 301, EMPORIA, KS 66801-2590
(620) 343-2376
Mailing address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-2376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7384
KS
Other
Enumeration date
05/27/2010
Last updated
01/15/2015
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