Lassen, Shannon D

Lassen, Shannon D is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lassen, Shannon D can be contacted via phone (425) 339-5422.

Contact Information

Primary practice address
3927 Rucker Ave Everett WA 98201-4833
Phone: (425) 339-5422
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10005375 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005375

Profile Details

NPI number 1598939860
LBN Legal business name Lassen, Shannon D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Nov 2nd, 2021 - about 3 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 1598939860 NPPES
Washington MEDICAID 1060443

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