Individual
MR. MICHAEL GREGORY LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
3577 CHAMBLEE TUCKER RD # 161A, ATLANTA, GA 30341-4422
(404) 432-8746
Mailing address
3577A CHAMBLEE TUCKER RD #161, ATLANTA, GA 30341-1459
(404) 432-8746
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
2795
VA
363AS0400X
Surgical Physician Assistant
Primary
2795
VA
Other
Enumeration date
05/18/2007
Last updated
11/13/2013
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