# BRIAN A LASSETER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861796427
- **Authorized official:** DR. BRIAN LASSETER MD (OWNER)
- **Authorized official phone:** (772) 334-1700

## Contact information

- **Practice address:** 1801 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7233
- **Practice address phone:** (772) 334-1700
- **Practice address fax:** (772) 334-1703
- **Mailing address:** 1801 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7233
- **Mailing address phone:** (772) 334-1700
- **Mailing address fax:** (772) 334-1703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 19921220007 | FL | Yes |

## Other

- **Enumeration date:** 12/22/2010
- **Last updated:** 01/04/2011