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

Mr. Jose Ramil Lasala, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1710284872

Mr. Jose Ramil Lasala, ACNP-BC is a Nurse Practitioner in Dearborn, Michigan. Qualified in 2010, 16 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone: (313) 982-5440
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 9938 Allen Pointe Dr, Allen Park, MI 48101-1489 — (519) 551-4452

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704229984 (MI)

Record details

NPI number1710284872
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP-BC
Sole proprietorYes
NPI enumeratedFebruary 24, 2011
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Dearborn