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Individual

MR. DAVID A. LASSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 924-6820
(205) 942-5627
Mailing address
4140 HIGHWAY 105, OZARK, AL 36360-7426
(334) 774-6220

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007464
CT
225100000X
Physical Therapist
Primary
PTH3219
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-32034
BCBS PROVIDER #
AL
Enumeration date
10/20/2006
Last updated
07/08/2007
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