Lassiter, Susan

Lassiter, Susan is an sole proprietor health care provider with primary practice located at 10401 W Thunderbird Blvd , Sun City AZ 85351-3004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lassiter, Susan can be contacted via phone (623) 977-7211.

Contact Information

Primary practice address
10401 W Thunderbird Blvd Sun City AZ 85351-3004
Phone: (623) 977-7211
Fax: (623) 876-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN114917 Arizona

Profile Details

NPI number 1164400628
LBN Legal business name Lassiter, Susan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated May 1st, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164400628 NPPES
Arizona MEDICAID 991910

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