Individual
CHAZ MICHAEL LASSEIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
CRNA000467
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2535247
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1983322-01
—
TX
01
—
89640U
BCBS
TX
Enumeration date
02/05/2008
Last updated
10/02/2025
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