Individual
MRS. MICHAEL ANNE LASSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 IH 35 S, WACO, TX 76706-1013
(254) 799-0219
Mailing address
801 IH 35 S, WACO, TX 76706-1013
(254) 799-0219
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
193042
TX
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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