Lacasse, Taryn Persia

Lacasse, Taryn Persia is an individual health care provider with primary practice located at 789 Central Ave , Dover NH 03820-2526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lacasse, Taryn Persia can be contacted via phone (603) 742-8787.

Contact Information

Primary practice address
789 Central Ave Dover NH 03820-2526
Phone: (603) 742-8787
Fax: (603) 740-2446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA4224 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1875 New Hampshire

Profile Details

NPI number 1679854798
LBN Legal business name Lacasse, Taryn Persia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Aug 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679854798 NPPES
Massachusetts MEDICAID 110121445A

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