Individual
DOROTHY ANN LASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 AMANDA CT SW, PINE ISLAND, MN 55963-6795
(507) 254-7523
Mailing address
1028 AMANDA CT SW, PINE ISLAND, MN 55963-6795
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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