DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENMORE LASAM, M.D.

Active

DR. GLENMORE LASAM, M.D. is a Cardiovascular Disease healthcare provider located in MANTECA, California. NPI 1093133027 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · MANTECA, CA

Registration Details

NPI Number
1093133027
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2014 (12.172250997745 yrs)
Last Updated
Jul 19, 2022
Licenses
25MA10197800 (NJ)
A171671 (CA)

Practice Information

Address
1148 NORMAN DR STE 3
MANTECA, CA, 953365961
Browse CA providers · Browse ZIP 95336
Phone
2098241555
Fax
2094642684
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease

Other Cardiovascular Disease Providers in MANTECA, CA

Name Credential NPI
SANJEEV VAISHAMPAYAN MD 1528035573
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.