Individual
MISS HEATHER RENEE LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MERCY WAY STE 430, JOPLIN, MO 64804-4524
(417) 556-8730
(417) 556-2277
Mailing address
520 S PORTER AVE, JOPLIN, MO 64801-3015
(417) 437-0937
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02883
KS
363A00000X
Physician Assistant
Primary
2020007088
MO
Other
Enumeration date
02/03/2021
Last updated
03/08/2024
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