Provider Demographics
NPI:1942396296
Name:LASSINGER, RENEE LYN (RN, MSN, APN)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:LYN
Last Name:LASSINGER
Suffix:
Gender:F
Credentials:RN, MSN, APN
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:LYN
Other - Last Name:HOWSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, APN
Mailing Address - Street 1:12155 GOLDEN BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-8971
Mailing Address - Country:US
Mailing Address - Phone:615-579-4807
Mailing Address - Fax:
Practice Address - Street 1:1801 N SENATE BLVD
Practice Address - Street 2:SUITE 2000
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1228
Practice Address - Country:US
Practice Address - Phone:317-962-9700
Practice Address - Fax:317-962-9704
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006390363LA2200X
IN71004131A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN183380004Medicare PIN