Individual
NATALIE LASTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6762
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-6663
(206) 515-5811
(206) 341-0274
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
56590
CT
2084P0800X
Psychiatry Physician
Primary
MD61067926
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2015
Last updated
03/11/2021
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