Individual
WINIFRED CECELIA LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
Mailing address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21504
TN
Other
Enumeration date
11/16/2006
Last updated
09/26/2011
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