JACQUELINE RENEE LASSEN

DETROIT, MI
NPI1912215021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601005878)
Enumeration Date2010-09-23
Last Update Date2011-08-18
Business Address
Miss JACQUELINE RENEE LASSEN PA-C
4160 JOHN R ST
DETROIT, MI 48201-2020
Phone number: 248-686-4200
Mailing Address
Miss JACQUELINE RENEE LASSEN PA-C
4160 JOHN R ST STE 400
DETROIT, MI 48201-2021
Phone number: 248-686-4200
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