Individual
RICHARD LASTRINA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
769 NEWFIELD ST, SUITE 4, MIDDLETOWN, CT 06457-1846
(860) 635-4886
(860) 635-7087
Mailing address
81 WINSLOW DR, NEWINGTON, CT 06111-4925
(860) 667-3176
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0134
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598891855
—
CT
Enumeration date
07/23/2015
Last updated
07/23/2015
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