Tally Edward Lassiter in Cooperstown - Sports Medicine

Tally Edward Lassiter - NPI 1124129119

Tally Edward Lassiter is a Sports Medicine in Cooperstown, New York. Tally Edward Lassiter practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Tally Edward Lassiter is 1124129119. The last update date is 2012-06-12.

Tally Edward Lassiter's current location address is Po Box 725, Cooperstown, New York. You can contact this provider via phone number 6074336314 and fax number 6074336331. The mailing address for Tally Edward Lassiter is Po Box 725, Cooperstown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Tally Edward Lassiter
Address Po Box 725, Cooperstown, New York
Phone Number 6074336314
Fax Number 6074336331
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124129119
Provider Enumeration Date 2006-09-25
Last Updated Date 2012-06-12

Provider Mailing Address Detail

Address Po Box 725
City Cooperstown
State New York (NY)
Post Code 133260725
Phone Number 6074336314
Fax Number 6074336331

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 256321
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

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FAQs about Tally Edward Lassiter

What is the unique 10-digit identification code assigned to Tally Edward Lassiter by the Centers for Medicare & Medicaid Services?

The Tally Edward Lassiter has been issued the NPI (National Provider Identifier) 1124129119, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tally Edward Lassiter's facilities are situated?

The facilities of Tally Edward Lassiter are physically located at the following address: Po Box 725, Cooperstown, NY, 133260725.

What is Tally Edward Lassiter's area of expertise and its corresponding taxonomy classification?

The Tally Edward Lassiter's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1124129119 to Tally Edward Lassiter?

The Tally Edward Lassiter received its 1124129119 assignment from the Centers for Medicare & Medicaid Services on 2006-09-25.

When was the information regarding Tally Edward Lassiter, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tally Edward Lassiter, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-12.

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