Greg Allan Lassiter SFIDC

NPI 1326298795 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1326298795
Gender Male
Enumeration Date 09/23/2008
Last Updated 09/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3110 B SEAGULL ST
GULFPORT MS, 39501, US
Phone (228) 871-2810
Fax
Business Location
5305 MARVIN SHIELDS BLVD
GULFPORT MS, 39501, US
Phone (228) 871-2810
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, Greg Allan Lassiter SFIDC NPI is 1326298795, taxonomy code is 1710I1002X Greg Allan Lassiter SFIDC physically located at 3110 B Seagull St, Gulfport MS, 39501. NPI Number Greg Allan Lassiter SFIDC has the Individual type.

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1326298795 NPI number is provided on an as is basis without warranty of any kind. 1326298795 is maintained by the National Plan & Provider Enumeration System. The contents of Greg Allan Lassiter SFIDC are for informational purposes only.