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General NPI Number Information
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NPI Number | 1699624148
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Entity Type | Organization
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Legal Business Name | LASCANO AND ASSOCIATES MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2755 HERNDON AVE
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City | CLOVIS
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State | CA
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Zip | 93611-6800
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Country | US
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Telephone | 559-324-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 440 N BARRANCA AVE # 8296
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 201-328-5308
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANNY LASCANO
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Credential | MD
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Telephone | 201-328-5308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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