R. R.lastomirsky, M.d., P.a.

NPI #1487759809 in Venice, Florida

Provider Information

NPI Number: 1487759809
Entity Type: Organization
Organization Name: R. R.lastomirsky, M.d., P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Sep 13, 2006
Last Updated: Dec 4, 2007

Practice Location

Address: 740 THE RIALTO
City: Venice
State: Florida
ZIP Code: 34285-3524
Phone: (941) 484-8414

Authorized Official

Name: DR. ROBERT RAYMOND LASTOMIRSKY, M.D.
Title: OWNER/OPERATOR
Phone: (941) 484-8414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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