| Doctor Name: | MRS. MICHELLE LEE LASITER |
| NPI Number: | 1063710564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP-BC |
| License Number: | A03503 ANP |
| Business Practice Address: | 1710 Harrison St Batesville, AR - 725017303 |
| Business Phone Number: | 8702621200 |
| Business Fax Number: | 8702626199 |
| Mailing Address: | 1710 Harrison St, BATESVILLE |
| State: | AR |
| Postal Code: | 725017303 |
| Phone Number: | 8702621200 |
| Fax Number: | 8702626199 |
| NPI Enumeration Date: | 03/08/2011 |
| NPI Last Update Date: | 08/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | A03503 ANP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |