Lasante INC

NPI #1760792329 in Springfield, Illinois

Provider Information

NPI Number: 1760792329
Entity Type: Organization
Organization Name: Lasante INC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 18, 2010
Last Updated: Oct 18, 2010

Practice Location

Address: 4936 LAVERNA ROAD
City: Springfield
State: Illinois
ZIP Code: 62707-9797
Phone: (217) 523-4747

Authorized Official

Name: DR. FRANK L MIKELL, MD
Title: CEO
Phone: (217) 523-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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