| Doctor Name: | DR. BROOKS THOMAS LASELLE |
| NPI Number: | 1003887720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 48844-020 |
| Business Practice Address: | 101 W 8th Ave Spokane, WA - 992042307 |
| Business Phone Number: | 2532173832 |
| Business Fax Number: | |
| Mailing Address: | 715 N Madson Ct, LIBERTY LAKE |
| State: | WA |
| Postal Code: | 990197507 |
| Phone Number: | 2532173832 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 06/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 48844-020 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |