Jordan Lane Lass, PA-C

NPI #1730950163 in Maitland, Florida

Provider Information

NPI Number: 1730950163
Entity Type: Individual
Name: Jordan Lane Lass, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 15, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 500 WINDERLEY PL STE 115
City: Maitland
State: Florida
ZIP Code: 32751-7406
Phone: (407) 875-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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