Doctor Name: | MRS. MARGARITA LASSALETTA |
NPI Number: | 1063518371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35-067706 |
Business Practice Address: | 185 Wadsworth Rd Suite 2e Wadsworth, OH - 442818330 |
Business Phone Number: | 3303365046 |
Business Fax Number: | 3303365052 |
Mailing Address: | 185 Wadsworth Rd, Suite 2e WADSWORTH |
State: | OH |
Postal Code: | 442818330 |
Phone Number: | 3303365046 |
Fax Number: | 3303365052 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35-067706 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |