| Dr Kayla M Lasota, DO | |
|
11230 115th St Ae3042, Augusta, GA 30912 | |
| (706) 721-7005 | |
| Not Available |
| Full Name | Dr Kayla M Lasota |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 11230 115th St Ae3042, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952968737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 10973 (Georgia) | Primary |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kayla M Lasota, DO 11850 Dr Mlk Jr St N, Apt 16206, St. Petersburg, FL 33716 Ph: (716) 999-9999 | Dr Kayla M Lasota, DO 11230 115th St Ae3042, Augusta, GA 30912 Ph: (706) 721-7005 |
Kenny Esho, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 574-850-2999 | |
Janelle Mcgill, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Kristen Beeler, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437 | |
Ansley Wilson Smith, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1469 Laney Walker Blvd, Augusta, GA 30912 Phone: 706-721-7005 | |
Lorna Evorie Bell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. William Weston Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 93 Bristlecone Ct., Augusta, GA 30909 Phone: 706-736-3704 | |
Dr. Amanda Chaffin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9442 |