Dr. Jordan L Lastra, MD
Internal Medicine in Camden, New Jersey
1396314100- Practice location
- 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101
- Phone
- 856-757-3500
- Fax
- —
- Last updated
- November 22, 2024
Jordan L Lastra is an Internal Medicine based in Camden, NJ. Jordan L Lastra practices in Camden, NJ and has the professional credentials of MD. The NPI Number for Jordan L Lastra is 1396314100 and holds a License No. MT222893 (PA). The current practice location address for Jordan L Lastra is 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 and can be reached out via phone at 856-757-3500.
Provider Profile Details
- NPI Number
- 1396314100
- Provider Name
- Jordan L Lastra
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101
- Phone Number
- 856-757-3500
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 24, 2021
- Last Update Date
- November 22, 2024
- Certification Date
- November 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1600 Haddon Ave Fl 6
Camden, NJ 08103-3101 - City
- Camden
- State
- New Jersey
- Zip
- 08103-3101
- Phone Number
- 856-757-3500
Provider Business Mailing Address Details
- Address
- 301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197 - City
- Marlton
- State
- NJ
- Zip
- 08053-4197
- Phone Number
- 856-355-0340
License Information
- License Number
- MT222893
- License State
- PA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jordan L Lastra, MD?
The NPI number of Dr. Jordan L Lastra, MD is 1396314100. It was assigned on June 24, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Jordan L Lastra, MD?
Dr. Jordan L Lastra, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PA under license number MT222893.
Where does Dr. Jordan L Lastra, MD practice?
The practice location is 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101. The office can be reached at 856-757-3500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396314100 directly on the NPPES registry website.