Provider Demographics
NPI:1124011176
Name:LASON, ANNA J
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:J
Last Name:LASON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:J
Other - Last Name:VEAZEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:340 RICHLAND WEST CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712
Mailing Address - Country:US
Mailing Address - Phone:254-399-9291
Mailing Address - Fax:254-399-8414
Practice Address - Street 1:340 RICHLAND WEST CIRCLE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712
Practice Address - Country:US
Practice Address - Phone:254-399-9291
Practice Address - Fax:254-399-8414
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX731021363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner