location
search-icon
person
Dr. Jacob Randall Lassiter, MD
Obstetrics & Gynecology Physician in Crestview, Florida
NPI 1295178580

Jacob Randall Lassiter is a Obstetrics & Gynecology Physician based in Crestview, FL. Jacob Randall Lassiter practices in Crestview, FL and has the professional credentials of MD. The NPI Number for Jacob Randall Lassiter is 1295178580 and holds a License No. 24652 (Florida).

The current practice location address for Jacob Randall Lassiter is 550 Redstone Ave W Ste 470, Crestview, FL and can be reached out via phone at 850-689-2229.

Location: 550 Redstone Ave W Ste 470, Crestview, FL, 32536-6457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295178580
Provider Name
Jacob Randall Lassiter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
550 Redstone Ave W Ste 470, Crestview, FL, 32536-6457
Phone Number
850-689-2229
Fax Number
Provider Enumeration Date
04/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
550 Redstone Ave W Ste 470
City
Crestview
State
Florida
Zip
32536-6457
Phone Number
850-689-2229
Fax Number
person
Provider Business Mailing Address Details
Address
550 Redstone Ave W Ste 470
City
Crestview
State
Florida
Zip
32536-6457
Phone Number
850-689-2229
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
MD.34009 (Alabama)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
24652 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.