| Doctor Name: | CASSONDRA LANE DAHLHEIMER-LAWSON |
| NPI Number: | 1255744173 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 2081 |
| Business Practice Address: | 290 Main St Nw Suite 100 Elk River, MN - 553301270 |
| Business Phone Number: | 7632410373 |
| Business Fax Number: | |
| Mailing Address: | 290 Main St Nw, Suite 100 ELK RIVER |
| State: | MN |
| Postal Code: | 553301270 |
| Phone Number: | 7632410373 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2014 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |