Organization
TIMOTHY LEE LASTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LASTER D.C. (OWNER/PROVIDER)
(636) 333-2983
Entity
Organization
Contact information
Practice address
1331 JEFFCO BLVD STE 7, ARNOLD, MO 63010-2165
(636) 333-2983
(636) 333-2985
Mailing address
1331 JEFFCO BLVD STE 7, ARNOLD, MO 63010-2165
(636) 333-2983
(636) 333-2985
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006403
MO
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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