Individual
JOSEPH Y LABASTILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2676 E AURORA RD, 102, TWINSBURG, OH 44087-6805
(330) 425-8888
(330) 425-8899
Mailing address
4700 ROCKSIDE RD, SUITE 200, INDEPENDENCE, OH 44131-2155
(216) 643-3000
(216) 643-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135166
—
OH
Enumeration date
10/26/2006
Last updated
10/22/2007
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