Individual
DR. LYNN RUSHING LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CIMT
Contact information
Practice address
350 W 22ND ST STE 108, NORFOLK, VA 23517-2107
(757) 216-4151
Mailing address
350 W 22ND ST STE 108, NORFOLK, VA 23517-2107
(757) 216-4151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206084
VA
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396975215
—
VA
01
—
192931
BCBS (PHYSICAL THERAPY)
VA
01
—
9838376
AETNA
VA
01
—
P00733187
MEDICARE RAILROAD
VA
Enumeration date
07/27/2009
Last updated
10/10/2020
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