Individual
WALTER STEVEN LASSLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
496 EAST 100 NORTH, PRICE, UT 84501-0000
(435) 637-4320
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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