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Judith Mary Lassen, FNP
Family Nurse Practitioner in Kingman, Arizona
NPI 1831407865

Judith Mary Lassen is a Family Nurse Practitioner based in Flagstaff, AZ and is specialized in Family. Judith Mary Lassen practices in Kingman, AZ and has the professional credentials of FNP. The NPI Number for Judith Mary Lassen is 1831407865 and holds a License No. AP3817 (Arizona).

The current practice location address for Judith Mary Lassen is 1510 N Stockton Hill Rd, Kingman, AZ and can be reached out via phone at 928-753-1177 and via fax at 928-753-1178.

Location: 1510 N Stockton Hill Rd, Kingman, AZ, 86003-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831407865
Provider Name
Judith Mary Lassen
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1510 N Stockton Hill Rd, Kingman, AZ, 86003-3630
Phone Number
928-753-1177
Fax Number
928-753-1178
Provider Enumeration Date
09/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
556159 05 AZ
institution
Provider Business Practice Location Address Details
Address
1510 N Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86401
Phone Number
928-753-1177
Fax Number
928-753-1178
person
Provider Business Mailing Address Details
Address
1510 N Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86401
Phone Number
928-753-1177
Fax Number
928-753-1178
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP3817 (Arizona)
Definition
Definition to come...
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