Dr. Shane F. Laster P.a.
NPI #1912415563 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1912415563
- Entity Type
- Organization
- Organization Name
- Dr. Shane F. Laster P.a.
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 17, 2018
- Last Updated
- Apr 5, 2022
Practice Location
- Address
- 8500 S 36TH TER
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72908-8880
- Phone
- (479) 242-2020
Authorized Official
- Name
- DR. SHANE F LASTER, OD
- Title
- PRESIDENT
- Phone
- (479) 242-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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