Individual
DR. REX D LASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 MEDICAL PARK STE 401, WHEELING, WV 26003-6392
(304) 243-3880
(304) 243-3895
Mailing address
270 BROWNS RUN RD, WHEELING, WV 26003-9464
(304) 242-9871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12951
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056784000
—
WV
Enumeration date
05/17/2006
Last updated
10/30/2017
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