Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARMEN L. LASTINE, D.V.M.
Active Sole ProprietorVeterinarian · FRUITA, CO
Registration Details
- NPI Number
- 1699907915
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2009 (16.732491902397 yrs)
- Last Updated
- Aug 20, 2009
- License
-
3964 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
456 KOKOPELLI BLVD UNIT EFRUITA, CO, 815218723Browse CO providers · Browse ZIP 81521
- Phone
- 9708584299
- Primary Specialty
-
Veterinarian
174M00000X
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.