Individual
LYNDA LASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 S FRYERS CREEK CIR, 1323, TEMPLE, TX 76504-7825
(901) 355-9426
Mailing address
404 S FRYERS CREEK CIR, 1323, TEMPLE, TX 76504-7825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2101107
TX
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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