Individual provider · Type 1 NPI

Elijah David Lasota, MD, MPH

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1124887294 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1005

Mailing address

515 Palmer Ave
Patton, PA 16668-1317

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124887294

Elijah David Lasota, MD, MPH's National Provider Identifier is 1124887294, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Mar 18, 2024.