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Dr. Gerald Lasin, MD

Pediatrics in Lake Forest, IL. Individual provider (NPI-1).

NPI number1215972799
StatusActive
Last updated in NPPESJun 22, 2010

Details

NPI
1215972799
Entity type
Individual (NPI-1)
Name
Dr. Gerald Lasin
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 18, 2006
Last updated
Jun 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics36038061ILYes

Practice location

900 N Westmoreland Rd
Suite 110
Lake Forest, IL 60045-1674

Phone 847-295-1220 · Fax 847-295-1255

Mailing address

900 N Westmoreland Rd
Suite 110
Lake Forest, IL 60045-1674

Phone 847-295-1220 · Fax 847-295-1255

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