Individual provider · Type 1 NPI
Jose Ramil Lasala, ACNP-BC
Acute Care Nurse Practitioner · Dearborn, MI
NPI number
1710284872
Active
Practice location
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice locations
- 9938 Allen Pointe Dr, Allen Park, MI 48101-1489 · (519) 551-4452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704229984 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1710284872
Jose Ramil Lasala, ACNP-BC's National Provider Identifier is 1710284872, issued on Feb 24, 2011. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dearborn, MI. The record was last updated on Jul 21, 2022.