| NPI | 1629702253 |
|---|---|
| Doing Business As | LA'SO MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SONDA JOHNSON Owner 618-889-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2024-11-09 |