Individual
MARIA D. LASTOVKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
768 HIGHWAY 46 S, DICKSON, TN 37055-2556
(615) 441-4400
(615) 441-4443
Mailing address
127 CRESTVIEW PARK DR, SUITE 209, DICKSON, TN 37055-2855
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN15909
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525572
—
TN
Enumeration date
07/01/2011
Last updated
04/09/2025
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