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General NPI Number Information
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NPI Number | 1639648264
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Entity Type | Organization
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Legal Business Name | KRISTIN LASSETER, MD, PLLC
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 4022 MENCHACA RD
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City | AUSTIN
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State | TX
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Zip | 78704-6746
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Country | US
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Telephone | 512-982-4116
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Fax | 512-265-9008
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Provider Business Mailing Address
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Address Line | 4022 MENCHACA RD
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City | AUSTIN
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State | TX
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Zip | 78704-6746
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Country | US
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Telephone | 512-982-4116
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Fax | 512-265-9008
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KRISTIN YEUNG LASSETER
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Credential | MD
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Telephone | 512-982-4116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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