MR. MICHAEL GREGORY LASSITER SURGICAL ASSISTANT
NPI 1396953873
Physician Assistant - Surgical in Atlanta, GA
- Individual
- Male
- Physician Assistant
- Surgical
About MICHAEL LASSITER
This page provides the complete NPI Profile along with additional information for Michael Lassiter, a provider established in Atlanta, Georgia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1396953873 assigned on May 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 2795 (VA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1396953873 Verify this NPI
- Provider Name
- MR. MICHAEL GREGORY LASSITER SURGICAL ASSISTANT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3577 CHAMBLEE TUCKER RD # 161A ATLANTA, GA 30341
- Location Phone
- (404) 432-8746
- Mailing Address
- 3577A CHAMBLEE TUCKER RD #161 ATLANTA, GA 30341
- Mailing Phone
- (404) 432-8746
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-18-2007
- Last Update Date
- 11-13-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2795
- License State
- VA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | 2795 (VA) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396953873, enumerated as an "individual" on May 18, 2007.
The provider is located at 3577 CHAMBLEE TUCKER RD # 161A ATLANTA, GA 30341 and the phone number is (404) 432-8746.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
