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Individual
HEATHER DANIELLE LASETER
Active
Individual
HEATHER DANIELLE LASETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005861
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790821108A
—
GA
05
—
790821108B
—
GA
05
—
790821108C
—
GA
05
—
790821108D
—
GA
05
—
790821108E
—
GA
05
—
790821108F
—
GA
05
—
790821108G
—
GA
Enumeration date
06/16/2010
Last updated
04/27/2020
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