person
Michelle Nicole Lastra, PA-C
Medical Physician Assistant in Riverview, Florida
NPI 1275009631

Michelle Nicole Lastra is a Medical Physician Assistant based in Riverview, FL and is specialized in Medical. Michelle Nicole Lastra practices in Riverview, FL and has the professional credentials of PA-C. The NPI Number for Michelle Nicole Lastra is 1275009631 and holds a License No. 9111768 (Florida).

The current practice location address for Michelle Nicole Lastra is 13134 Early Run Ln, Riverview, FL and can be reached out via phone at 813-481-8969.

Location: 13134 Early Run Ln, Riverview, FL, 33578-3387
person
Provider Profile Details
NPI Number
1275009631
Provider Name
Michelle Nicole Lastra
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
13134 Early Run Ln, Riverview, FL, 33578-3387
Phone Number
813-481-8969
Fax Number
Provider Enumeration Date
10/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13134 Early Run Ln
City
State
Zip
33578-3387
Phone Number
813-481-8969
Fax Number
person
Provider Business Mailing Address Details
Address
13134 Early Run Ln
City
State
Zip
33578-3387
Phone Number
813-481-8969
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9111768 (Florida)
Definition
Definition to come...
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