Individual
BRADLEY J LASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-4783
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
073154
WI
367500000X
Certified Registered Nurse Anesthetist
378085
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
73154
WI
Other
Enumeration date
11/18/2005
Last updated
04/13/2026
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