Individual
BONNIE L. LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFO
Contact information
Practice address
126 STATESVILLE BLVD, SALISBURY, NC 28144-2312
(704) 637-0151
(704) 637-0437
Mailing address
126 STATESVILLE BLVD, SALISBURY, NC 28144-2312
(704) 637-0151
(704) 637-0437
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFO03036
NC
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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