Individual provider · Type 1 NPI

Andrea Kathleen Lassor, B.S, D.T.

Specialist · Greenville, IL

NPI number 1285836817 Active

Practice location

507 W Main St
Greenville, IL 62246-1616

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAS05471201P (IL)

Specialist: 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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About NPI 1285836817

Andrea Kathleen Lassor, B.S, D.T.'s National Provider Identifier is 1285836817, issued on Jun 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Greenville, IL. The record was last updated on Jul 8, 2007.