MR. Paul Lewis Lastova, PT

NPI #1033102157 in Fairfax, Virginia

Provider Information

NPI Number
1033102157
Entity Type
Individual
Name
MR. Paul Lewis Lastova, PT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist
Credential
PT
Enumeration Date
Aug 24, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
9860 LEE HWY
Address 2
SUITE 1
ZIP Code
22030-1702
Phone
(703) 383-1616

Specialties & Taxonomy Codes

Specialty
Specialist

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