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Individual

BRANDEN LASSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8220 WALNUT HILL LN STE 615, DALLAS, TX 75231-4424
(214) 345-8393
(214) 345-8409
Mailing address
8220 WALNUT HILL LN STE 615, DALLAS, TX 75231-4424
(214) 345-8393
(214) 345-8409

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
PA11267
TX

Other

Enumeration date
03/28/2017
Last updated
01/17/2020
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