Search › Idaho › 363A00000X
Matthew Lassen, PA-C
NPI 1932599214 · on the registry since 2015
Practice
- Address
- 803 S Main St Ste 120
Moscow, ID 83843 - Phone
- (509) 444-8888
- Organisation at this address
- Community Health Assoc
Gritman Medical Center Inc
Gritman Medical Center Inc
Latah Community Health Pharmacy
Palouse Specialty Physicians, P.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 719 S Main St, Moscow, ID
- 719 S Main St, Moscow, ID
- 2500 W A St Ste 101, Moscow, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-29
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 Idaho