Alan Eugene Lasser | Skokie, IL • PECOS Search

Alan Eugene Lasser

Dermatology

Allopathic & Osteopathic Physicians

4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1425

PECOS Enrollment

Based on the most recent information from CMS, provider Alan Eugene Lasser does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1437140530
Provider Type
Individual
Full Name
Lasser, Alan Eugene
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/30/2005
Last Updated
7/26/2008

Contact Information

Practice Location

4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1425

(847) 674-1517

Mailing Location

4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1458

(847) 674-1517

Provider Taxonomies

Code	Description	License
Code 207N00000X Primary	Description Dermatology Allopathic & Osteopathic Physicians	License 36-37674 Illinois