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Mrs. Andrea Kathleen Lassor, BS,DT
Specialist in Greenville, Illinois
NPI 1285836817

Andrea Kathleen Lassor is a Specialist based in Greenville, IL. Andrea Kathleen Lassor practices in Greenville, IL and has the professional credentials of BS,DT. The NPI Number for Andrea Kathleen Lassor is 1285836817 and holds a License No. AS05471201P (Illinois).

The current practice location address for Andrea Kathleen Lassor is 507 W Main St, Greenville, IL and can be reached out via phone at 618-664-3663.

Location: 507 W Main St, Greenville, IL, 62246-1616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285836817
Provider Name
Andrea Kathleen Lassor
Credential
BS,DT
Provider Entity Type
Individual
Gender
Female
Address
507 W Main St, Greenville, IL, 62246-1616
Phone Number
618-664-3663
Fax Number
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
507 W Main St
City
Greenville
State
Illinois
Zip
62246-1616
Phone Number
618-664-3663
Fax Number
person
Provider Business Mailing Address Details
Address
507 W Main St
City
Greenville
State
Illinois
Zip
62246-1616
Phone Number
618-664-3663
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AS05471201P (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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