Tami S Lasala, NP

NPI #1619303542 in Freeport, Illinois

Provider Information

NPI Number: 1619303542
Entity Type: Individual
Name: Tami S Lasala, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: NP
Enumeration Date: Sep 24, 2013
Last Updated: Nov 7, 2018

Practice Location

Address: 1045 W STEPHENSON ST
City: Freeport
State: Illinois
ZIP Code: 61032-4864
Phone: (815) 599-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary
Nurse Practitioner	363L00000X
Nurse Practitioner - Acute Care — Acute Care	363LA2100X

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