Dr JOSE RAMIL R LASALA is a male medical professional, specializing in Nurse Practitioner. He graduated in 2010.
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT
MI
482022608
Tel: 3139162600
| Npi | 1710284872 |
| Pac Id | 1759566532 |
| Professional Enrollment Id | I20110420000413 |
| Last Name | LASALA |
| First Name | JOSE RAMIL |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | HENRY FORD HEALTH SYSTEM |
| Group Practice Pac Id | 0547178311 |
| Number Of Group Practice Members | 1770 |
| Line 1 Street Address | 2799 W GRAND BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DETROIT |
| State | MI |
| Zip Code | 482022608 |
| Phone Number | 3139162600 |
| Hospital Affiliation Ccn 1 | 230053 |
| Hospital Affiliation Lbn 1 | HENRY FORD HOSPITAL |
| Hospital Affiliation Ccn 2 | 230020 |
| Hospital Affiliation Lbn 2 | BEAUMONT HOSPITAL - DEARBORN |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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