Individual
DR. ALAN KENT LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10106 RAVEN TREE DR, RALEIGH, NC 27617-8206
(919) 280-5643
Mailing address
8311 BRIER CREEK PKWY, STE 105-367, RALEIGH, NC 27617-7328
(919) 280-5643
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
F9712
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
F9712
TX
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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