Lasante Inc in Springfield IL

Lasante Inc is an orthopedic surgery with a current address of 4936 Laverna Road Springfield IL 62707-9797. The NPI is 1760792329, and the license number is (). It was issued on 10/18/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 10/18/2010.

 

Lasante Inc can be reached by phone at 2175234747, by mail at 4936 Laverna Road Springfield IL 62707-9797, or by fax at 2175230542.

 

Frank Mikell (Ceo) is the authorized representative of the organization and can be reached at this phone number: 2175234747.

Name: Lasante Inc

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: Frank Mikell

Authorized Title/Position: Ceo

Contact Number: 2175234747

 

Practice Location Address:

4936 Laverna Road

Springfield

IL 62707-9797

Telephone Number: 2175234747

Fax Number: 2175230542

Mailing Address:

4936 Laverna Road

Springfield

IL 62707-9797

Telephone Number: 2175234747

Fax Number: 2175230542

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1760792329

Enumeration Date: 10/18/2010

Last Update: 10/18/2010

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number:

License State:

 

Taxonomy Group: 193200000x Multi-Specialty Group

 

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier:

Code Type:

Identifier State:

Identifier Issuer:

 

Other Identifiers (if any):