Individual
REGINA M LASSABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 E STATE ST, CENTERVILLE, IA 52544-1813
(641) 856-6471
Mailing address
2411 KERSEY RD, BRANCH, AR 72928-7011
(479) 879-9413
(479) 879-9415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
086134
IA
101YM0800X
Mental Health Counselor
P2511019
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
104007626
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962870196
—
IA
Enumeration date
09/03/2015
Last updated
02/11/2026
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