Heather Renee Lassiter, PA-C
Physician Assistant in Joplin, MO. Individual provider (NPI-1).
NPI number1235721069
StatusActive
Last updated in NPPESMar 8, 2024
Details
- NPI
- 1235721069
- Entity type
- Individual (NPI-1)
- Name
- Miss Heather Renee Lassiter
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2021
- Certification date
- Mar 8, 2024
- Last updated
- Mar 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2020007088 | MO | Yes |
| 363A00000X | Physician Assistant | 15-02883 | KS |
Practice location
100 Mercy Way Ste 430Joplin, MO 64804-4524
Phone 417-556-8730 · Fax 417-556-2277
Mailing address
520 S Porter AveJoplin, MO 64801-3015
Phone 417-437-0937
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All 37 Physician Assistant providers in Joplin · All 3,057 providers in Joplin
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