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Individual

DR. BRUCE LAWRENCE LASKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
510 CHERRY ST, SUITE 102, BLUEFIELD, WV 24701-3338
(304) 327-2568
(304) 324-0800
Mailing address
510 CHERRY ST, SUITE 102, BLUEFIELD, WV 24701-3338
(304) 327-2568
(304) 324-0800

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
WV 10952
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0093990000
WV
Enumeration date
04/19/2006
Last updated
05/03/2012
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