Lassila, Renee C
Lassila, Renee C is an individual health care provider with primary practice located at 2700 East Centre Ave , Portage MI 49002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lassila, Renee C can be contacted via phone (269) 286-7050.Contact Information
Primary practice address
2700 East Centre Ave
Portage MI 49002
Phone: (269) 286-7050
Fax: (269) 286-7051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301065740 | Michigan |
Profile Details
| NPI number | 1619903317 |
|---|---|
| LBN Legal business name | Lassila, Renee C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1619903317 | NPPES |
| Michigan | MEDICAID | 3214207 |
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