Individual provider · Type 1 NPI
Marilyn Lasovage, MD
General Practice Physician · Dearborn, MI
NPI number
1932524337
Active
Practice location
24911 Newton St
Dearborn, MI 48124-1557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 4301037551 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1932524337
Marilyn Lasovage, MD's National Provider Identifier is 1932524337, issued on Feb 22, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dearborn, MI. The record was last updated on Feb 22, 2014.