Individual
DR. VICTOR M LASALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 CALLE MANUEL CORCHADO JUARBE, ISABELA, PR 00662-2642
(218) 341-3346
Mailing address
56 CALLE GARDENIA, ISABELA, PR 00662-2779
(218) 341-3346
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15433
PR
Other
Enumeration date
08/09/2007
Last updated
03/12/2013
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