Individual
MARSHALL NATHAN LASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 ASYLUM AVE, STE 4310, HARTFORD, CT 06105-1770
(860) 247-2137
(860) 728-0480
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3245
(860) 679-0121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
015106
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0015106
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
015106
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001151067
—
CT
01
—
010015106CT01
BCBS
CT
01
—
015106
MEDICAL LICENSE
CT
Enumeration date
02/06/2006
Last updated
03/07/2023
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