-- RICHARD JOHN LASSERE -- m.d.
Individual Provider (NPI-1)
Active
Family Medicine, Geriatric Medicine
Provider Information
- NPI Number
1376639948- Provider Type
- Individual Provider (NPI-1)
- Credentials
- m.d.
- Status
- Active
Contact & Location
- Address
- 353 N. 4TH 102, POCATELLO, ID, 83201
- Phone
- (208) 478-7900
- Fax
- (208) 479-7901
Specialties & Taxonomies
Family Medicine, Geriatric Medicine
Primary License: UT #9651486-1205