Individual
KEVIN C LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC OF CHIROPRATIC
Contact information
Practice address
1100 FAYETTE AVE, BELLE VERNON, PA 15012-2304
(724) 929-6077
(724) 929-9410
Mailing address
1100 FAYETTE AVE, BELLE VERNON, PA 15012-2304
(724) 929-6077
(724) 929-9410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004048L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561207
HIGHMARK
PA
Enumeration date
03/02/2006
Last updated
01/12/2012
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