Provider Demographics
NPI:1205810314
Name:LASCU, ROXANA A (MD)
Entity type:Individual
Prefix:
First Name:ROXANA
Middle Name:A
Last Name:LASCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 953895
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-3895
Mailing Address - Country:US
Mailing Address - Phone:407-804-9090
Mailing Address - Fax:407-804-9093
Practice Address - Street 1:1307 S INTERNATIONAL PKWY
Practice Address - Street 2:SUITE 1061
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-1413
Practice Address - Country:US
Practice Address - Phone:407-804-9090
Practice Address - Fax:407-804-9093
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2013-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME90739207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50519WMedicare PIN