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Individual

ALAINA LASTRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21 HERITAGE DR, BOURBONNAIS, IL 60914-1465
(815) 937-8204
(815) 937-8798
Mailing address
338 PRAIRIE RIDGE DR, MINOOKA, IL 60447-8249
(815) 325-5754

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020254
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020254
IL

Other

Enumeration date
03/14/2007
Last updated
10/11/2024
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