Individual provider · Type 1 NPI
Mary Catherine Lasater
Family Nurse Practitioner · Charleston, SC
NPI number
1760904114
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-0100
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Other practice locations
- 922 Holly St, Holly Hill, SC 29059-2762 · (803) 531-6900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 21076 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1760904114
Mary Catherine Lasater's National Provider Identifier is 1760904114, issued on Jul 7, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Dec 23, 2019.