Lorenz Frederick Lassen, MD | |
2000 Meade Parkway, Suffolk, VA 23434-4259 | |
(757) 539-0251 | |
(757) 934-9421 |
Full Name | Lorenz Frederick Lassen |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 2000 Meade Parkway, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164485652 | NPI | - | NPPES |
010190568 | Medicaid | VA | |
02859429 | Medicaid | NY | |
5903025 | Medicaid | NC | |
P00272441 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0101238004 (Virginia) | Primary |
207YX0901X | Otolaryngology - Otology & Neurotology | 0101238004 (Virginia) | Secondary |
Entity Name | Bayview Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
Mailing Address | Practice Location Address |
---|---|
Lorenz Frederick Lassen, MD Po Box 7068, Portsmouth, VA 23707-0068 Ph: (757) 686-3508 | Lorenz Frederick Lassen, MD 2000 Meade Parkway, Suffolk, VA 23434-4259 Ph: (757) 539-0251 |
Pierre Thomas Martin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5818 Harbour View Blvd, Suite 230, Suffolk, VA 23435 Phone: 757-673-6118 Fax: 757-967-9003 | |
Edilberto Olarte Pelausa, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-9421 |