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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE NICOLE LASTRA, PA-C

Active Sole Proprietor

MICHELLE NICOLE LASTRA, PA-C is a Medical Physician Assistant healthcare provider located in RIVERVIEW, Florida. NPI 1275009631 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · RIVERVIEW, FL

Registration Details

NPI Number
1275009631
Provider Type
Individual
Gender
Female
NPI Issued
Oct 23, 2018 (7.8463099613187 yrs)
Last Updated
Nov 3, 2022
License
9111768 (FL)
Sole Proprietor
Yes

Practice Information

Address
13134 EARLY RUN LN
RIVERVIEW, FL, 335783387
Browse FL providers · Browse ZIP 33578
Phone
8134818969
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in RIVERVIEW, FL

Name Credential NPI
TABREZ Z NOORANI PA-C 1275780520
CHRIST GAO PA-C 1144855446
MRS. LAUREN MARIE BENTLEY PA-C 1316556590
KYLE HARDEN PA 1184239949
CHELSEA NOELLE MIRA TIMONERA PA-C 1477315976
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.