Provider Demographics
NPI:1922843945
Name:LASS, CAROLINE FRANCES
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:FRANCES
Last Name:LASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N DUKE ST APT 36
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1850
Mailing Address - Country:US
Mailing Address - Phone:919-316-9898
Mailing Address - Fax:
Practice Address - Street 1:1000 N DUKE ST APT 36
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-1850
Practice Address - Country:US
Practice Address - Phone:919-316-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16909225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist