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Individual

MARIA D. LASTOVKA

Active
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Individual

MARIA D. LASTOVKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15909
TN
363LP0200X
Pediatric Nurse Practitioner
APN15909
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1525572
TN
Enumeration date
07/01/2011
Last updated
05/22/2026
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