Individual
CARLA M LASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, PHOENIX, AZ 85374-7280
(623) 374-7774
Mailing address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, PHOENIX, AZ 85374-7280
(623) 374-7774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1014683
AZ
Other
Enumeration date
10/23/2014
Last updated
12/11/2014
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