Individual provider · Type 1 NPI

Jennifer Lasserre

Medical Physician Assistant · Davie, FL

NPI number 1902601206 Active

Practice location

7450 Griffin Rd Ste 190
Davie, FL 33314-4123

Call (954) 792-4663 Map

Mailing address

8147 W 36th Ave Apt 1
Hialeah, FL 33018-1832

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9119638 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1902601206

Jennifer Lasserre's National Provider Identifier is 1902601206, issued on Feb 19, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Davie, FL. The record was last updated on Feb 19, 2025.