| Laisse Enterprises Inc | |
|
502 Lantana Dr Hockessin DE 19707-8813 | |
| (302) 763-3455 | |
| Not Available |
| Full Name | Laisse Enterprises Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 502 Lantana Dr, Hockessin, Delaware |
| Authorized Official Name and Position | Stewart Martin Wiggins (PRESIDENT/CEO) |
| Authorized Official Contact | 6099297842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laisse Enterprises Inc 502 Lantana Dr Hockessin DE 19707-8813 Ph: (302) 763-3455 | Laisse Enterprises Inc 502 Lantana Dr Hockessin DE 19707-8813 Ph: (302) 763-3455 |
| NPI Number | 1487010096 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487010096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
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