Individual
FRANK THOMAS LASALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1007
(309) 734-3141
Mailing address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1007
(309) 734-3141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
706588400
—
MN
Enumeration date
05/30/2006
Last updated
09/11/2014
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