Individual
DR. FRANK A. LASTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8601 EASTHAVEN CT, NEW PORT RICHEY, FL 34655-5214
(727) 372-0096
(813) 635-2697
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME61326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080089523
RAILROAD MEDICARE NUMBER
FL
05
—
372875700
—
FL
Enumeration date
05/24/2006
Last updated
08/22/2016
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