Individual
DR. HOMER LEON LASSITER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
(205) 316-7675
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
(205) 316-7675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22263
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009996800
—
AL
05
—
150273
—
AL
Enumeration date
06/27/2006
Last updated
09/16/2024
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