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Individual

EMILEE NICOLE LASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, AGPCNP-BC

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
8 GLEN OAKS DR, FENTON, MO 63026-5044
(314) 277-2233

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2021004679
MO

Other

Enumeration date
03/02/2022
Last updated
03/02/2022
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