Individual
STEFANIE LASTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
335 E AVENUE I, LANCASTER, CA 93535-1916
(661) 471-4020
Mailing address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(661) 471-4020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
802196
CA
163WP2201X
Ambulatory Care Registered Nurse
Primary
802196
CA
Other
Enumeration date
06/28/2017
Last updated
01/18/2023
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