Provider Demographics
NPI:1104855824
Name:LASZLO POSEVITZ, D.O., INC.
Entity Type:Organization
Organization Name:LASZLO POSEVITZ, D.O., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LASZLO
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-461-5003
Mailing Address - Street 1:131 N LUDLOW ST
Mailing Address - Street 2:SUITE 1125
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1116
Mailing Address - Country:US
Mailing Address - Phone:937-461-5003
Mailing Address - Fax:937-461-5102
Practice Address - Street 1:131 N LUDLOW ST
Practice Address - Street 2:SUITE 1125
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1116
Practice Address - Country:US
Practice Address - Phone:937-461-5003
Practice Address - Fax:937-461-5102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-1874208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA74653Medicare UPIN