Provider Demographics
NPI:1083995179
Name:LASSER, HOWARD STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:STEPHEN
Last Name:LASSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5968 SHILLINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-1559
Mailing Address - Country:US
Mailing Address - Phone:248-788-0075
Mailing Address - Fax:
Practice Address - Street 1:5968 SHILLINGHAM DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-1559
Practice Address - Country:US
Practice Address - Phone:248-788-0075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301035114207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine