Organization
LA SALETTE PERSONAL PRIMARY HEALTH CARE LLC
Active
Other names
Margarita M Lassaletta DBA La Salette PPHC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARITA LASSALETTA MD (OWNER)
(330) 336-5046
Entity
Organization
Contact information
Practice address
185 WADSWORTH RD, 2E, WADSWORTH, OH 44281-8330
(330) 336-5046
(330) 336-5052
Mailing address
185 WADSWORTH RD, 2E, WADSWORTH, OH 44281-8330
(330) 336-5046
(330) 336-5052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35067706L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000309393
ABCBS
—
05
—
2045085
—
OH
01
—
5908582
AETNA
OH
Enumeration date
01/30/2008
Last updated
10/10/2012
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