Individual
DR. LINDA T LASTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
961 E STUART DR, GALAX, VA 24333-2407
(276) 236-0065
Mailing address
961 E STUART DR, GALAX, VA 24333-2407
(276) 236-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1010319606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005814120
—
VA
01
—
283020
ANTHEM
VA
01
—
302298
SOUTHERN HEALTH
VA
01
—
84641
MED-COST (NORTH CAROLINA)
NC
Enumeration date
09/14/2006
Last updated
09/17/2008
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