Thalia Lastra

NPI #1942085147 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1942085147
Entity Type: Individual
Name: Thalia Lastra
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 28, 2023
Last Updated: Aug 28, 2023

Practice Location

Address: 3300 S UNIVERSITY DR
City: Ft Lauderdale
State: Florida
ZIP Code: 33328-2004
Phone: (786) 424-5983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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