Tatiana Lastovkina

NPI #1063163889 in Middleton, Wisconsin

Provider Information

NPI Number
1063163889
Entity Type
Individual
Name
Tatiana Lastovkina
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jan 13, 2022
Last Updated
Jun 22, 2025

Practice Location

Address
3185 DEMING WAY
ZIP Code
53562-1435
Phone
(608) 263-1292

Specialties & Taxonomy Codes

Specialty
Pharmacist

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