Individual
MRS. BARBARA LYNNE LASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 DAYTON AVE, MANORVILLE, NY 11949-2029
(631) 878-7946
Mailing address
203 DAYTON AVE, MANORVILLE, NY 11949-2029
(631) 878-7946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
840579981
NY
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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