Individual
MEREDITH A LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
625 W CROSSVILLE RD STE 128, ROSWELL, GA 30075-7504
(770) 587-0101
Mailing address
625 W CROSSVILLE RD STE 128, ROSWELL, GA 30075-7504
(770) 587-0101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64667
GA
207Q00000X
Family Medicine Physician
OS10239
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO1175
FL
Other
Enumeration date
10/16/2007
Last updated
04/07/2020
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