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

NPI #1285836817 in Greenville, Illinois

Provider Information

NPI Number: 1285836817
Entity Type: Individual
Name: MRS. Andrea Kathleen Lassor, B.S, D.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: B.S, D.T.
Enumeration Date: Jun 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 507 W MAIN ST
City: Greenville
State: Illinois
ZIP Code: 62246-1616
Phone: (618) 664-3663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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