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Individual

MRS. KINSIE LASSAUW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
201 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5170
(256) 265-7246
Mailing address
201 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5170
(256) 265-7246

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-151309
AL
363LF0000X
Family Nurse Practitioner
Primary
1-151309
AL

Other

Enumeration date
02/01/2021
Last updated
07/26/2023
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