Provider Demographics
NPI:1306080221
Name:LASALLE HEALTH SERVICES, INC
Entity type:Organization
Organization Name:LASALLE HEALTH SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-699-2090
Mailing Address - Street 1:575 E WASHINGTON ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-2459
Mailing Address - Country:US
Mailing Address - Phone:508-699-2090
Mailing Address - Fax:508-699-5932
Practice Address - Street 1:1507 ATWOOD AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3232
Practice Address - Country:US
Practice Address - Phone:401-331-5374
Practice Address - Fax:401-331-5458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies