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Dr. Jerwana Laster, DPM
Primary Podiatric Medicine Podiatrist in Indianapolis, Indiana
NPI 1528317518

Jerwana Laster is a Primary Podiatric Medicine Podiatrist based in Indianapolis, IN and is specialized in Primary Podiatric Medicine. Jerwana Laster practices in Indianapolis, IN and has the professional credentials of DPM. The NPI Number for Jerwana Laster is 1528317518 and holds a License No. 07001149A (Indiana).

The current practice location address for Jerwana Laster is 10935 Beechwood Dr E, Indianapolis, IN and can be reached out via phone at 317-441-1093 and via fax at 317-669-2739. You can also correspond with Jerwana Laster through the mailing address at 10935 BEECHWOOD DR E, INDIANAPOLIS, IN - 46280-1222 (mailing address contact number: 317-441-1093).

Location: 10935 Beechwood Dr E, Indianapolis, IN, 46280-1222
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Provider Profile Details
NPI Number
1528317518
Provider Name
Jerwana Laster
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
10935 Beechwood Dr E, Indianapolis, IN, 46280-1222
Phone Number
317-441-1093
Fax Number
317-669-2739
Provider Enumeration Date
09/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07001149B 01 IN IN LICENSE
794 01 TN TN LICENSE
institution
Provider Business Practice Location Address Details
Address
10935 Beechwood Dr E
City
State
Zip
46280-1222
Phone Number
317-441-1093
Fax Number
317-669-2739
person
Provider Business Mailing Address Details
Address
10935 Beechwood Dr E
City
State
Zip
46280-1222
Phone Number
317-441-1093
Fax Number
317-669-2739
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
07001149A (Indiana)
Definition
Definition to come...
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