Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN6874 | FL |
NPI | 1164432985 |
---|---|
Provider Name | Dr. Alan Lasch |
First Address | West Palm Beach, FL 33401-5709 |
Second Address | West Palm Beach, FL 33401-5709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 08/07/2007 |