| Miss Jacqueline Renee Lassen, PA-C | |
|
4160 John R St, Detroit, MI 48201-2020 | |
| (248) 686-4200 | |
| Not Available |
| Full Name | Miss Jacqueline Renee Lassen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 4160 John R St, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912215021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5601005878 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harper University Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Physician Group | 8628087681 | 341 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jacqueline Renee Lassen, PA-C 4160 John R St Ste 400, Detroit, MI 48201-2021 Ph: (248) 686-4200 | Miss Jacqueline Renee Lassen, PA-C 4160 John R St, Detroit, MI 48201-2020 Ph: (248) 686-4200 |
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