Richard John Lassere in Pocatello - Geriatric Medicine

Richard John Lassere - NPI 1376639948

Richard John Lassere is a Geriatric Medicine in Pocatello, Idaho. Richard John Lassere practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Richard John Lassere is 1376639948. The last update date is 2016-02-09.

Richard John Lassere's current location address is 353 N. 4th 102, Pocatello, Idaho. You can contact this provider via phone number 2084787900 and fax number 2084797901. The mailing address for Richard John Lassere is 353 N. 4th 102, Pocatello, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard John Lassere
Address 353 N. 4th 102, Pocatello, Idaho
Phone Number 2084787900
Fax Number 2084797901
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1376639948
Provider Enumeration Date 2006-10-04
Last Updated Date 2016-02-09

Provider Mailing Address Detail

Address 353 N. 4th 102
City Pocatello
State Idaho (ID)
Post Code 83201
Phone Number 2084787900
Fax Number 2084797901

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No 9651486-1205
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3792800 ID --
49726 ID BLUE CROSS

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FAQs about Richard John Lassere

What is the unique 10-digit identifier code issued to Richard John Lassere by the Centers for Medicare & Medicaid Services?

The Richard John Lassere has been assigned the NPI (National Provider Identifier) 1376639948 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Richard John Lassere's facilities are situated?

The facilities of Richard John Lassere are physically located at the following address: 353 N. 4Th 102, Pocatello, ID, 83201.

What is Richard John Lassere's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard John Lassere is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Qg0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376639948 to Richard John Lassere?

The Centers for Medicare & Medicaid Services originally issued the 1376639948 to Richard John Lassere on 2006-10-04.

When was the information regarding Richard John Lassere, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard John Lassere, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-02-09.

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