Provider Demographics
NPI:1295991115
Name:DR. JOSEPH A. LASCALA & ASSOCIATES P.C.
Entity type:Organization
Organization Name:DR. JOSEPH A. LASCALA & ASSOCIATES P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:AUGUSTIN
Authorized Official - Last Name:LASCALA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-847-7640
Mailing Address - Street 1:7400 LEWIS AVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9106
Mailing Address - Country:US
Mailing Address - Phone:734-847-7640
Mailing Address - Fax:734-847-7486
Practice Address - Street 1:7400 LEWIS AVE
Practice Address - Street 2:SUITE J
Practice Address - City:TEMPERANCE
Practice Address - State:MI
Practice Address - Zip Code:48182-9106
Practice Address - Country:US
Practice Address - Phone:734-847-7640
Practice Address - Fax:734-847-7486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007176111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0007723115OtherAETNA
MI1872753OtherFIRST HEALTH
MIP52346OtherBLUE CARE NETWORK
MI068535OtherHAP
MI02956OtherPARAMOUNT
MI350046286OtherRR MEDICARE
MI950E850240OtherBCBS OF MICHIGAN
MI02956OtherPARAMOUNT
MIOM51810Medicare PIN