Individual
DR. MARK E LASSISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 S CRESCENT DR STE 10, MASON CITY, IA 50401-2926
(641) 494-5170
(641) 494-5175
Mailing address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 494-5400
(641) 494-5403
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22919
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2223412
—
IA
Enumeration date
09/09/2005
Last updated
07/06/2020
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