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Dr. Johanna Lasala, MD
Hematology & Oncology Physician in Orange, Connecticut
NPI 1932148848

Johanna Lasala is a Hematology & Oncology Physician based in Orange, CT and is specialized in Hematology & Oncology. Johanna Lasala practices in Orange, CT and has the professional credentials of MD. The NPI Number for Johanna Lasala is 1932148848 and holds a License No. 035143 (Connecticut).

The current practice location address for Johanna Lasala is 240 Indian River Rd, Orange, CT and can be reached out via phone at 203-795-1664 and via fax at 203-795-1665.

Location: 240 Indian River Rd, Orange, CT, 06477-3649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932148848
Provider Name
Johanna Lasala
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
240 Indian River Rd, Orange, CT, 06477-3649
Phone Number
203-795-1664
Fax Number
203-795-1665
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001351436 05 CT
institution
Provider Business Practice Location Address Details
Address
240 Indian River Rd
City
Orange
State
Connecticut
Zip
06477-3649
Phone Number
203-795-1664
Fax Number
203-795-1665
person
Provider Business Mailing Address Details
Address
240 Indian River Rd
City
Orange
State
Connecticut
Zip
06477-3649
Phone Number
203-795-1664
Fax Number
203-795-1665
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
035143 (Connecticut)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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