Individual
EMERALD LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1313 E OSBORN RD STE 150, PHOENIX, AZ 85014-5688
(602) 264-4431
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(026) 222-1900
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9927
AZ
Other
Enumeration date
12/09/2022
Last updated
03/21/2025
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