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NPI Code Detail

MEDICARE: LINDSEY LILLIAN LASTER PTA

MEDICARE: LINDSEY LILLIAN LASTER PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant8498MA

General Provider Information

NPI Number : 1710597539
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY LILLIAN LASTER PTA
Provider Business Mailing Address
First Line : 46 WILLOW TREE DR
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-6187
Country : US
Telephone Number : 508-277-6998
Fax Number :
Provider Business Practice Location Address
First Line : 146 MACARTHUR BLVD
Second Line :
City : BUZZARDS BAY
State : MA
Zip : 02532-3902
Country : US
Telephone Number : 508-759-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2020
Last Update Date : 08/06/2020

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Directions to “ LINDSEY LILLIAN LASTER PTA” Practice Location

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