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1023098662
LOREN S LASATER
FORT WORTH, TX
NPI
1023098662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX M3624)
Enumeration Date
2006-01-19
Last Update Date
2011-10-24
Business Address
LOREN S LASATER MD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1200
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Mailing Address
LOREN S LASATER MD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1200
Copy
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