Matthew Lassen, PA-C

NPI #1932599214 in Moscow, Idaho

Provider Information

NPI Number
1932599214
Entity Type
Individual
Name
Matthew Lassen, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 26, 2015
Last Updated
Apr 29, 2020

Practice Location

Address
803 S MAIN ST STE 120
City
Moscow
State
Idaho
ZIP Code
83843-2695
Phone
(509) 444-8888

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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