Provider Demographics
NPI:1962490912
Name:LASERNA, OSCAR M (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:M
Last Name:LASERNA
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 1:4103 LAFAYETTE BLVD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22580
Mailing Address - Country:US
Mailing Address - Phone:540-898-0295
Mailing Address - Fax:540-891-0225
Practice Address - Street 1:4103 LAFAYETTE BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22580
Practice Address - Country:US
Practice Address - Phone:540-898-0295
Practice Address - Fax:540-891-0225
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027056174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10948OtherHARRINGTON BENEFITS
VA212497OtherMAMSI/OPTIMUM CHOICE
VA07-00533OtherUNITED HEALTHCARE
VA10948OtherSENTARA
VA274465OtherANTHEM BC/BS
VA6264484OtherVIRGINIA PREMIER
VA8830677001OtherCIGNA
VAC42000001OtherCAPITAL CARE
VA20435OtherCARENET
VA541051109-01OtherSOUTHERN HEALTH
VA6264484Medicaid
VA481143OtherAETNA
VA6264484Medicaid