Individual
KAYLA LASATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 SPRUCE ST, LOCKWOOD, MO 65682-9738
(417) 296-1008
Mailing address
1601 SPRUCE ST, LOCKWOOD, MO 65682-9738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2010008201
MO
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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