Individual provider · Type 1 NPI

Chantelle Lassak, PA-C

Medical Physician Assistant · Gilbert, AZ

NPI number 1457443418 Active

Practice location

6285 S Higley Rd
Gilbert, AZ 85298

Fax (480) 490-5858

Other practice locations

  • 965 W Chandler Heights Rd, Chandler, AZ 85248-5724 · (480) 460-4949

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3064 (AZ)
Medical Physician Assistant Primary 363AM0700X3064 (AZ)

Medical Physician Assistant: Definition to come...

20 other providers at this address

Other medical physician assistant providers in Gilbert

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About NPI 1457443418

Chantelle Lassak, PA-C's National Provider Identifier is 1457443418, issued on Sep 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gilbert, AZ. The record was last updated on Oct 14, 2021.