Elijah David Lasota, MD, MPH
Student in an Organized Health Care Education/Training Program in Miami, FL. Individual provider (NPI-1).
NPI number1124887294
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1124887294
- Entity type
- Individual (NPI-1)
- Name
- Elijah David Lasota
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1611 Nw 12th AveMiami, FL 33136-1005
Phone 305-585-5215
Mailing address
515 Palmer AvePatton, PA 16668-1317
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