Individual
MRS. JAN LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5942 N ORIENT ST, BURLINGTON, KY 41005-9739
(859) 334-4455
Mailing address
1167 CROSSPOINTE DR, HEBRON, KY 41048-9362
(859) 689-1577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2452
KY
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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