Individual
BRUCE LASTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2300
(603) 326-5831
Mailing address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
(603) 326-5831
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1625
ME
Other
Enumeration date
02/01/2006
Last updated
10/30/2015
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