Individual
TAMELA LYNN LASSILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2366 OAK VALLEY DR, ANN ARBOR, MI 48103-8944
(877) 227-8823
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG03190084
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704246866
MI
Other
Enumeration date
01/30/2020
Last updated
10/09/2024
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