Individual
LAURA ANN LASTER
Active
Individual
LAURA ANN LASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041446344
IL
163W00000X
Registered Nurse
28225021A
IN
363LF0000X
Family Nurse Practitioner
Primary
209020064
IL
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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