Provider Demographics
NPI:1710229950
Name:LASCOE, NEAL ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:ANDREW
Last Name:LASCOE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 FLORENCE AVE #200
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-4014
Mailing Address - Country:US
Mailing Address - Phone:562-869-4532
Mailing Address - Fax:562-869-9417
Practice Address - Street 1:8515 FLORENCE AVE
Practice Address - Street 2:STE 200
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-4043
Practice Address - Country:US
Practice Address - Phone:562-869-4532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice