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Individual
MATTHEW LACASSE
Active
Individual
MATTHEW LACASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101021692
MI
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
5101021692
MI
2084P0800X
Psychiatry Physician
5101021692
MI
2084P0804X
Child & Adolescent Psychiatry Physician
5101021692
MI
Other
Enumeration date
05/15/2015
Last updated
06/06/2023
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