Lassen, Jacqueline Renee

Lassen, Jacqueline Renee is an individual health care provider with primary practice located at 4160 John R St , Detroit MI 48201-2020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lassen, Jacqueline Renee can be contacted via phone (248) 686-4200.

Contact Information

Primary practice address
4160 John R St Detroit MI 48201-2020
Phone: (248) 686-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601005878 Michigan

Profile Details

NPI number 1912215021
LBN Legal business name Lassen, Jacqueline Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2010
Last updated Aug 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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