Connie Jeanine Lasley, CRNP

NPI #1548858202 in Andalusia, Alabama

Provider Information

NPI Number
1548858202
Entity Type
Individual
Name
Connie Jeanine Lasley, CRNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
CRNP
Enumeration Date
Jan 7, 2021
Last Updated
Feb 4, 2021

Practice Location

Address
300 MEDICAL AVE STE 100
State
Alabama
ZIP Code
36420-1108
Phone
(334) 222-2393

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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