RICHARD JOHN LASSERE

POCATELLO, ID
NPI1376639948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
(Licence: UT  9651486-1205)
Enumeration Date2006-10-04
Last Update Date2016-02-09
Business Address
-- RICHARD JOHN LASSERE m.d.
353 N. 4TH 102
POCATELLO, ID 83201
Phone number: 208-478-7900
Mailing Address
-- RICHARD JOHN LASSERE m.d.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 208-251-9093
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