Loren S Lasater, MD

NPI #1023098662 in Fort Worth, Texas

Provider Information

NPI Number: 1023098662
Entity Type: Individual
Name: Loren S Lasater, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 19, 2006
Last Updated: Oct 24, 2011

Practice Location

Address: 1500 S MAIN ST
City: Fort Worth
State: Texas
ZIP Code: 76104-4917
Phone: (817) 702-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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