Doctor Name: | DR. RICHARD LASIEWSKI |
NPI Number: | 1255687851 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A3173 |
Business Practice Address: | 1775 Bee Canyon Rd Arroyo Grande, CA - 934204964 |
Business Phone Number: | 8054815356 |
Business Fax Number: | |
Mailing Address: | 1775 Bee Canyon Rd, ARROYO GRANDE |
State: | CA |
Postal Code: | 934204964 |
Phone Number: | 8054815356 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2012 |
NPI Last Update Date: | 08/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 20A3173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |