# DEBORAH M LASTINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497781959
- **Gender:** F
- **Credential:** ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 096006708N3 | OR | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 12/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500017837 | RR MEDICARE | OR |