Individual
DEBRA LASTARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 779-7437
(813) 355-5075
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME61956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220013865
RR MEDICARE
FL
05
—
371681300
—
FL
Enumeration date
09/29/2006
Last updated
09/15/2016
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