Organization
BRIAN A LASSETER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LASSETER MD (OWNER)
(772) 334-1700
Entity
Organization
Contact information
Practice address
1801 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7233
(772) 334-1700
(772) 334-1703
Mailing address
1801 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7233
(772) 334-1700
(772) 334-1703
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
19921220007
FL
Other
Enumeration date
12/22/2010
Last updated
01/04/2011
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