Individual
SHANNON D LASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
Mailing address
4400 TEASLEY LN, STE 200, DENTON, TX 76210-4652
(940) 382-9898
(940) 383-3815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005375
—
363AM0700X
Medical Physician Assistant
PA10005375
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060443
—
WA
Enumeration date
04/17/2008
Last updated
11/02/2021
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