Most Relevant Information
Provider Data
| NPI Number: | 1003438532 |
| Provider Name: | LAUTEASHA LANCASTER MS |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2020 |
| Last Updated: | 05/06/2020 |
Provider Practice Location
1755 WOODSTOCK RD STE 200
ROSWELL
GA
300752135
Practice Location Phone/Fax
| Phone: | 7709102753 |
| Fax: |
Provider Mailing Location
2465 VISTORIA DR
CUMMING
GA
300411579
Provider Mailing Phone/Fax
| Phone: | 7709102753 |
| Fax: |