Healthcare Provider Details

I. General information

NPI: 1275547358
Provider Name (Legal Business Name): FRANCIS B. LASALA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 01/13/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JOHN DEMPSEY HOSPITAL 263 FARMINGTON AVENUE, MC-2801
FARMINGTON CT
06030-0001
US

IV. Provider business mailing address

JOHN DEMPSEY HOSPITAL 263 FARMINGTON AVENUE, MC-2801
FARMINGTON CT
06030-0001
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-3334
  • Fax:
Mailing address:
  • Phone: 860-679-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number023782
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: