MS. Tara Lynn Lassila, P.A.

NPI #1356527063 in Hancock, Michigan

Provider Information

NPI Number: 1356527063
Entity Type: Individual
Name: MS. Tara Lynn Lassila, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jan 11, 2008
Last Updated: Jul 21, 2016

Practice Location

Address: 500 CAMPUS DR
City: Hancock
State: Michigan
ZIP Code: 49930-1569
Phone: (906) 483-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Physician Assistant	363A00000X	Primary

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