Individual
DR. JENNIFER WHORLEY LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6488 WEDDINGTON-MONROE RD, CHARLOTTE, NC 28104-6277
(704) 384-8460
(704) 384-1018
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8267
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200601450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905254
—
NC
Enumeration date
08/31/2006
Last updated
06/22/2023
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