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Individual

JENNIFER LASSETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 MAXIE RD, LEXINGTON, SC 29072-7618
(803) 234-8892
Mailing address
100 OLD CHEROKEE RD, SUITE F 14, LEXINGTON, SC 29072-9316

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3320
SC

Other

Enumeration date
08/27/2014
Last updated
08/27/2014
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