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Contact Information

RICHARD J LASSERE, MD
353 N. 4TH 102
POCATELLO, ID83201
 Phone: 208-478-7900
 Fax: 208-479-7901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICHARD J LASSERE · (Male)

NPI # 1376639948
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 02/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9651486-1205
  • ID Medicaid 003792800
  • ID Other 49726 BLUE CROSS
Hospital affiliation(s)
  • ALTA VIEW HOSPITAL - (Acute Care)
    9660 SOUTH 1300 EAST
    SANDY, UT 84094
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
  • RIVERTON HOSPITAL - (Acute Care)
    3741 WEST 12600 SOUTH
    RIVERTON, UT 84065
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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