Lasseter, Brian Andrew

Lasseter, Brian Andrew is an individual health care provider with primary practice located at 1801 Ne Jensen Beach Blvd , Jensen Beach FL 34957-7233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lasseter, Brian Andrew can be contacted via phone (772) 334-1700.

Contact Information

Primary practice address
1801 Ne Jensen Beach Blvd Jensen Beach FL 34957-7233
Phone: (772) 334-1700
Fax: (772) 334-1703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33303 Florida

Profile Details

NPI number 1871596981
LBN Legal business name Lasseter, Brian Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 27th, 2009 - about 15 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 1871596981 NPPES
Florida Other 33303 STATE LICENSE

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