Individual
CHEYENNE R LASITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
805 BROADWAY ST, LAMAR, MO 64759-1224
(417) 262-6070
(417) 262-6071
Mailing address
510 W SAINT LOUIS AVE, CARTHAGE, MO 64836-3063
(918) 219-4873
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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