Individual
DR. NATHALIE FIDA LASSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2451 FILLINGIM ST, MST 709, MOBILE, AL 36617-2238
(251) 471-7990
Mailing address
2451 FILLINGIM ST, MASTIN 711, MOBILE, AL 36617-2238
(251) 471-7117
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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