Individual
DANIEL R LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 797-2002
(626) 798-0567
Mailing address
2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 797-2002
(626) 798-0567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A71169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A711690
—
CA
Enumeration date
08/12/2005
Last updated
07/23/2008
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