Individual
LILA J LASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1400 SENATE AVE, STE. 105, RED OAK, IA 51566-1271
(712) 623-7250
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L073883
IA
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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