Individual
MICHAEL M LASTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 WELTON DR, CUMBERLAND, MD 21502-1336
(301) 777-7900
(301) 724-5590
Mailing address
100 WELTON DR, CUMBERLAND, MD 21502-1336
(301) 777-7900
(301) 724-5590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
08/25/2023
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