Individual
DR. MICHAEL J LASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, WEST ALLIS, WI 53227-1035
(414) 456-5900
(414) 327-7639
Mailing address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, WEST ALLIS, WI 53227-1035
(414) 456-5900
(414) 327-7639
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35601
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000217M
HUMANA
—
05
—
1598716342
—
WI
05
—
32371000
—
WI
Enumeration date
05/15/2006
Last updated
10/16/2012
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