Individual
MICHELLE M LASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
6300 HUMMINGBIRD RD, EXCELSIOR, MN 55331-7834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
756
MN
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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