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Individual

JACK K LAUSTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6401 E FRONT ST, KANSAS CITY, MO 64120-1356
(615) 778-4066
Mailing address
720 COOL SPRINGS BLVD, SUITE 300, FRANKLIN, TN 37067-2626
(615) 778-4066
(615) 778-9114

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
2003020262
MO

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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