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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871596981 | NPPES |
Florida | Other | 33303 | STATE LICENSE |
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