LONNIE BOB LASSITER (NPI# 1619189255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619189255 |
| Entity Type | Individual |
| Full Name | LONNIE BOB LASSITER |
| Credential | D.D.S. |
| Practice Address |
862 Meinecke Ave #200 San Luis Obispo CA 93405-1721 |
| Practice Telephone | 8055447804 |
| Practice Fax Number | 8055446020 |
| Mailing Telephone | 8055447804 |
| Mailing Fax Number | 8055446020 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
26879 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457302804 | Lonnie Lassiter | Family Medicine | 2881 Nc Hwy. 108e, Columbus, NC 28722 | 2006-05-12 |
| Street Address |
862 MEINECKE AVE #200 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537779 | Central Coast Orthopedic Medical Group | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-06-15 |
| 1922453877 | James Petrik | Dentist | 862 Meinecke Ave, Suite 203, San Luis Obispo, CA 93405 | 2016-04-28 |
| 1316323926 | Thomas Pacheco | Dentist | 862 Meinecke Ave, Suite 200, San Luis Obispo, CA 93405-1721 | 2015-08-05 |
| 1497135800 | Scott E. Adams, Dpm Inc | Durable Medical Equipment & Medical Supplies | 862 Meinecke Ave, Suite 204, San Luis Obispo, CA 93405-1721 | 2015-06-02 |
| 1871768150 | Nick L. Gunasayan, D.p.m., Inc | Durable Medical Equipment & Medical Supplies | 862 Meinecke Ave, Ste #204, San Luis Obispo, CA 93405-1721 | 2008-04-28 |
| 1710051792 | Otto J Schueckler | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-20 |
| 1962576959 | Kenneth B Fryer | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-20 |
| 1831262716 | Daniel W Woods | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-16 |
| 1447338678 | Sean D Devine | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-02 |
| 1073693586 | Charles E St. Vincent | Physical Therapist | 862 Meinecke Ave, Ste. 101, San Luis Obispo, CA 93405-1721 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1649593237 | Erlinda Carrie Ramirez | Dentist | 1250 Peach Street Suite G, San Luis Obispo, CA 93401 | 2010-03-10 |
| 1831389105 | Dwight Carvalho | Dentist | California Mens Colony Cdcr, Hwy 1, San Luis Obispo, CA 93409-0001 | 2007-08-01 |
| 1982814968 | Jason Christopher Leroux | Dentist | 225 N Santa Rosa St, San Luis Obispo, CA 93405-1324 | 2007-05-22 |
| 1811105927 | Paul Richard Cavigli | Dentist | 688 California Blvd, Ste A, San Luis Obispo, CA 93401-2560 | 2007-05-21 |
| 1235342601 | Ronald J Barbieri | Dentist | 1131 Pacific St, San Luis Obispo, CA 93401-3301 | 2007-05-08 |
| 1750506036 | Slade Dmd Corporation | Dentist | 862 Meinecke Avenue, Suite 200, San Luis Obispo, CA 93405 | 2007-04-13 |
| 1144342692 | Ernest George Beccacio | Dentist | 100 Colony Rd, San Luis Obispo, CA 93409-1000 | 2007-04-04 |
| 1972622041 | Ryan M Ross | Dentist | 11545 Los Osos Valley Rd Ste A, San Luis Obispo, CA 93405-6470 | 2007-03-28 |
| 1376661629 | Ron Brunick | Dentist | 956 Walnut St, Suite 300, San Luis Obispo, CA 93401-1707 | 2007-03-26 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.