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1104832088
LISA GAYLE LASSITER
MONTGOMERY, AL
NPI
1104832088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-043709)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- LISA GAYLE LASSITER RN
4212 CARMICHAEL CT N
MONTGOMERY, AL 36106-3621
Phone number: 334-213-8803
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Mailing Address
-- LISA GAYLE LASSITER RN
4212 CARMICHAEL CT N
MONTGOMERY, AL 36106-3621
Phone number: 334-213-8803
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