Organization
LASSEN, CRNA, NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM LASSEN (PRESIDENT)
(801) 885-3660
Entity
Organization
Contact information
Practice address
8555 FLORENCE AVE, DOWNEY, CA 90240-4014
(562) 923-9351
Mailing address
11011 HUSTON ST UNIT 203, NORTH HOLLYWOOD, CA 91601-5670
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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