Individual
JENNIFER LASSERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7450 GRIFFIN RD STE 190, DAVIE, FL 33314-4123
(954) 792-4663
Mailing address
8147 W 36TH AVE APT 1, HIALEAH, FL 33018-1832
(786) 352-5465
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9119638
FL
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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