Search › California › 172V00000X
River Lassotovitch
NPI 1164292918 · on the registry since 2024
Practice
- Address
- 776 S State St Ste 103
Ukiah, CA 95482 - Phone
- (707) 463-4915
- Organisation at this address
- Mendocino County Youth Project
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 53
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Male
- Record last updated
- 2024-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California