Individual
DANIELA HAVENS-LASTARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-8000
Mailing address
2405 CHADFORD WAY, LOUISVILLE, KY 40222-6232
(502) 689-5237
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
59745
KY
Other
Enumeration date
05/23/2017
Last updated
06/28/2024
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