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

Dr. Zachary R Laste, MD

Individual provider Diagnostic Radiology Physician · NPI 1417243866

Dr. Zachary R Laste, MD is a Diagnostic Radiology in St Francis, Wisconsin. Graduated from Medical College of Wisconsin in 2011, 15 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
15
Trained at
Medical College of Wisconsin
Licensed in
IL, WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2000 E Layton Ave
St Francis, WI 53235-6053
Phone: (414) 744-6589
Show map & directions

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

Additional practice locations (1)

  • 45 Tower Ct Ste C, Gurnee, IL 60031 — (847) 623-3200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 59922 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036-158668 (IL)

Record details

NPI number1417243866
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2011 (15 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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