Organization
LAISSE ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART MARTIN WIGGINS (PRESIDENT/CEO)
(609) 929-7842
Entity
Organization
Contact information
Practice address
502 LANTANA DR, HOCKESSIN, DE 19707-8813
(302) 763-3455
Mailing address
502 LANTANA DR, HOCKESSIN, DE 19707-8813
(302) 763-3455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
01/12/2016
Last updated
07/13/2016
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