National Provider Identifier Database

RICHARD J LASSERE, MD – NPI #1376639948
Geriatric Medicine

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 home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

RICHARD J LASSERE, MD
353 N. 4TH 102
POCATELLO, ID83201
Phone: 208-478-7900
Fax: 208-479-7901
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for RICHARD J LASSERE

NPI Number 1376639948
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 02/09/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 9651486-1205
  • ID Medicaid: 003792800
  • ID Other: 49726 BLUE CROSS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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