Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jason Lasource, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1376092395

Mr. Jason Lasource, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Birmingham, Alabama. Qualified in 2010, 16 years ago. Practices with Eastern Shore Anesthesia, PC, a 42-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
16
Licensed in
AL
In the registry since
2016
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone: (205) 939-7143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1-129422 (AL)

Record details

NPI number1376092395
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESOctober 4, 2016
Mailing addressPo Box 55310, Box 111, Birmingham, AL 35255-5310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Eastern Shore Anesthesia, P.C. — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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