Organization
LASHER CONSUMER DIRECTED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY CLEMONS (OWNER)
(314) 801-8651
Entity
Organization
Contact information
Practice address
2138 WOODSON RD STE 1, SAINT LOUIS, MO 63114-5671
(314) 801-8650
(314) 801-8651
Mailing address
2138 WOODSON RD STE 1, SAINT LOUIS, MO 63114-5671
(314) 801-8650
(314) 801-8651
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
251E00000X
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
814249751
—
MO
Enumeration date
11/03/2016
Last updated
11/03/2016
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