Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lasalle University

Organization Orthopaedic Surgery Physician · NPI 1568950178

Lasalle University is an Orthopaedic Surgery Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1900 W Olney Ave
Philadelphia, PA 19141-1108
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1568950178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator · (972) 367-4845
Other names Lasalle Sports Medicine
NPI enumeratedApril 30, 2018
Last updated in NPPESApril 30, 2018
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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