Individual
BRETT COLEMAN LASTRA
Active
Individual
BRETT COLEMAN LASTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
691840
NY
163WH0200X
Home Health Registered Nurse
691840
NY
163WI0600X
Infection Control Registered Nurse
Primary
26NR17447600
NJ
Other
Enumeration date
03/31/2018
Last updated
06/05/2023
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