Individual
DR. JASON B LASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2000 JAMES ST., STE 211, CORALVILLE, IA 52241-1882
(319) 358-9397
Mailing address
2000 JAMES ST., STE 211, CORALVILLE, IA 52241-1882
(319) 358-9397
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00762
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45096
WELLMARK PROVIDER #
IA
Enumeration date
04/28/2006
Last updated
11/10/2016
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