Individual
REBECCA LASSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2858 MAHAN DR., SUITE 4, TALLAHASSEE, FL 32308
(850) 216-2020
Mailing address
2858 MAHAN DR., SUITE 4, TALLAHASSEE, FL 32308
(850) 216-2020
(850) 671-3239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5718
FL
152W00000X
Optometrist
Primary
FLOPC5718
FL
Other
Enumeration date
07/28/2019
Last updated
06/28/2023
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