Individual
DONALD LASSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4260
(509) 882-6088
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-6175
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00035782
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118709
L & I
WA
01
—
12199
GROUP HEALTH
—
01
—
1306897681
NPI PROSSER MEMORIAL
—
01
—
8125882
CHPW
WA
05
—
8125882
—
WA
01
—
911019392
COMMERCIAL
—
01
—
LA9392
REGENCE
—
01
—
WA203935
HEALTH NET PLAN OF OR
OR
Enumeration date
10/05/2006
Last updated
12/20/2012
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