Individual
MS. ANNE RENEE LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2121 E HARMONY RD, SUITE 300, FORT COLLINS, CO 80528-3400
(970) 224-9102
(970) 224-9112
Mailing address
2121 E HARMONY RD, SUITE 300, FORT COLLINS, CO 80528-3400
(970) 224-9102
(970) 224-9112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06421865
—
CO
01
—
P01181181
MEDICARE RR
CO
Enumeration date
04/30/2008
Last updated
11/01/2016
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