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Organization
STANLEY E. LASSA, O.D., INC.
Active
Organization
STANLEY E. LASSA, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE D. LASSA DR.OF OPTOMETRY (PRESIDENT)
(432) 332-9920
Entity
Organization
Contact information
Practice address
420 B. NORTH GRANT AVE., ODESSA, TX 79761-9999
(432) 332-9920
(432) 337-8833
Mailing address
420 B. NORTH GRANT AVE., ODESSA, TX 79761-9999
(432) 332-9920
(432) 337-8833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03653TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019469801
—
TX
Enumeration date
08/24/2006
Last updated
09/25/2008
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