Individual
EARL LAMAR LASETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-15947
NC
363AS0400X
Surgical Physician Assistant
1157
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467PA
—
SC
Enumeration date
09/16/2006
Last updated
05/04/2026
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