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Miss Jacqueline Renee Lassen, PA-C
Surgical Physician Assistant in Detroit, Michigan
NPI 1912215021

Jacqueline Renee Lassen is a Surgical Physician Assistant based in Detroit, MI and is specialized in Surgical. Jacqueline Renee Lassen practices in Detroit, MI and has the professional credentials of PA-C. The NPI Number for Jacqueline Renee Lassen is 1912215021 and holds a License No. 5601005878 (Michigan).

The current practice location address for Jacqueline Renee Lassen is 4160 John R St, Detroit, MI and can be reached out via phone at 248-686-4200. You can also correspond with Jacqueline Renee Lassen through the mailing address at 4160 JOHN R ST STE 400, DETROIT, MI - 48201-2021 (mailing address contact number: 248-686-4200).

Location: 4160 John R St, Detroit, MI, 48201-2021
person
Provider Profile Details
NPI Number
1912215021
Provider Name
Jacqueline Renee Lassen
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4160 John R St, Detroit, MI, 48201-2021
Phone Number
248-686-4200
Fax Number
Provider Enumeration Date
09/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4160 John R St
City
State
Zip
48201-2020
Phone Number
248-686-4200
Fax Number
person
Provider Business Mailing Address Details
Address
4160 John R St
City
State
Zip
48201-2020
Phone Number
248-686-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601005878 (Michigan)
Definition
Definition to come...
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