Individual
ALYSIA MARIE LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
733 US 1, NORTH PALM BEACH, FL 33408-4513
(561) 840-1090
Mailing address
6717 FINAMORE CIR, LAKE WORTH, FL 33467-8723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118783
FL
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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