Individual
CHRISTOPHER LEE LASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
611 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48201-2273
(313) 822-0900
(313) 822-0950
Mailing address
611 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48201-2273
(313) 832-6300
(313) 822-0950
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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