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Maria D. Lastovka, NP
Pediatric Nurse Practitioner in Dickson, Tennessee
NPI 1265729925

Maria D. Lastovka is a Pediatric Nurse Practitioner based in Dickson, TN and is specialized in Pediatrics. Maria D. Lastovka practices in Dickson, TN and has the professional credentials of NP. The NPI Number for Maria D. Lastovka is 1265729925 and holds a License No. APN15909 (Tennessee).

The current practice location address for Maria D. Lastovka is 127 Crestview Park Dr, Dickson, TN and can be reached out via phone at 615-441-4562 and via fax at 615-446-1357. You can also correspond with Maria D. Lastovka through the mailing address at 127 CRESTVIEW PARK DR, DICKSON, TN - 37055-2855 (mailing address contact number: 615-446-5121).

Location: 127 Crestview Park Dr, Dickson, TN, 37055-2855
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Provider Profile Details
NPI Number
1265729925
Provider Name
Maria D. Lastovka
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
127 Crestview Park Dr, Dickson, TN, 37055-2855
Phone Number
615-441-4562
Fax Number
615-446-1357
Provider Enumeration Date
07/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1525572 05 TN
institution
Provider Business Practice Location Address Details
Address
127 Crestview Park Dr
City
State
Zip
37055-2855
Phone Number
615-441-4562
Fax Number
615-446-1357
person
Provider Business Mailing Address Details
Address
127 Crestview Park Dr
City
State
Zip
37055-2855
Phone Number
615-441-4562
Fax Number
615-446-1357
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APN15909 (Tennessee)
Definition
Definition to come...
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