Individual
BRIAN ANDREW LASSETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207Q00000X
Family Medicine Physician
Primary
33303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33303
STATE LICENSE
FL
Enumeration date
05/23/2005
Last updated
10/27/2009
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