| Doctor Name: | MRS. JAN LASTER |
| NPI Number: | 1316158546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | KY-2452 |
| Business Practice Address: | 5942 N Orient St Burlington, KY - 410059739 |
| Business Phone Number: | 8593344455 |
| Business Fax Number: | |
| Mailing Address: | 1167 Crosspointe Dr, HEBRON |
| State: | KY |
| Postal Code: | 410489362 |
| Phone Number: | 8596891577 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | KY-2452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |