Individual
DR. SETH LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8500 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 242-2020
(479) 242-1919
Mailing address
8500 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 242-2020
(479) 242-1919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2797
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200850190A
—
OK
05
—
234651722
—
AR
Enumeration date
06/24/2019
Last updated
03/08/2021
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