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NPI Code Detail

MEDICARE: AMBER NICOLE LASSO RN

MEDICARE:   AMBER NICOLE LASSO  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.552716OH

General Provider Information

NPI Number : 1972461283
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER NICOLE LASSO RN
Provider Business Mailing Address
First Line : 3351 ROSE LAKE CT
Second Line :
City : BELLBROOK
State : OH
Zip : 45305-8701
Country : US
Telephone Number : 937-408-7610
Fax Number :
Provider Business Practice Location Address
First Line : 2400 MIAMI VALLEY DR
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-4774
Country : US
Telephone Number : 937-438-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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