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Individual

BENJAMIN JOSEPH LASEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
86299-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942526330
WI
Enumeration date
04/11/2010
Last updated
12/07/2016
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