Individual
LARA N STECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-4908
(573) 884-3037
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
(573) 884-8526
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2006029627
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
772090
HEALTHLINK
MO
Enumeration date
10/24/2006
Last updated
09/12/2007
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