Individual
NICOLE LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 RUSSELL AVE BLDG 41, BELLE CHASSE, LA 70037-1006
(504) 678-8234
Mailing address
105 CYPRESS PARK LN, BELLE CHASSE, LA 70037-1698
(205) 886-4953
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.45391
AL
Other
Enumeration date
04/05/2021
Last updated
02/04/2025
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