Individual
GEORGE LASOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7170 LAFAYETTE ST, FORT WASHINGTON, PA 19034
(215) 653-7867
(215) 653-7872
Mailing address
7170 LAFAYETTE ST, FORT WASHINGTON, PA 19034
(215) 653-7867
(215) 653-7872
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD007091E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025767
—
PA
Enumeration date
09/20/2006
Last updated
07/08/2007
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