Individual
MS. CHARLOTTE RENA LASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, X-RAY TECH, CMA
Contact information
Practice address
231 S VALLEY ST, CARTHAGE, MS 39051-4047
(601) 654-2087
Mailing address
231 S VALLEY ST, CARTHAGE, MS 39051-4047
(601) 654-2087
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1049271
MS
Other
Enumeration date
01/19/2021
Last updated
01/10/2022
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