IndividualActive
Richard Lassere, M.D.
NPI 1376639948 · Geriatric Medicine (Family Medicine) Physician · Pocatello, ID
Provider details
- NPI number
- 1376639948
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9651486-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
353 N. 4th 102
Pocatello, ID 83201
Phone: (208) 478-7900
Fax: (208) 479-7901
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2016-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.