Most Relevant Information
Provider Data
| NPI Number: | 1003389099 |
| Provider Name: | LISA MICHELLE LASSEN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 62512 |
Most Important Dates
| Enumeration Date: | 01/02/2019 |
| Last Updated: | 01/02/2019 |
Provider Practice Location
4242 MEDICAL DR STE 6300
SAN ANTONIO
TX
782295372
Practice Location Phone/Fax
| Phone: | 2106148400 |
| Fax: | 2106148165 |
Provider Mailing Location
4242 MEDICAL DR STE 6300
SAN ANTONIO
TX
782295372
Provider Mailing Phone/Fax
| Phone: | 2106148400 |
| Fax: | 2106148165 |