Individual provider · Type 1 NPI

Candice Marie Laster, LPN

Licensed Practical Nurse · Dallas, GA

NPI number 1063225183 Active

Practice location

597 Westridge Cir
Dallas, GA 30132-9236

Call (678) 221-1369 Map

Mailing address

PO Box 552
Dallas, GA 30132-0010

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN086723 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1063225183

Candice Marie Laster, LPN's National Provider Identifier is 1063225183, issued on Jan 31, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dallas, GA. The record was last updated on Jan 31, 2025.