Matthew Aaron Lasslo

NPI #1003426545 in Page, Arizona

Provider Information

NPI Number
1003426545
Entity Type
Individual
Name
Matthew Aaron Lasslo
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Aug 7, 2020
Last Updated
Aug 7, 2020

Practice Location

Address
463 S LAKE POWELL BLVD
City
Page
State
Arizona
ZIP Code
86040-0856
Phone
(928) 645-5113

Specialties & Taxonomy Codes

Specialty
Counselor

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