Individual
MR. DAVID WILLIAM LASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 673-4660
Mailing address
3221 CARTER AVE, APT 142, MARINA DEL REY, CA 90292-4944
(801) 885-3660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711820
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4304
CA
Other
Enumeration date
10/09/2012
Last updated
05/17/2013
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