Individual provider · Type 1 NPI

Paul Lewis Lastova, PT

Specialist · Fairfax, VA

NPI number 1033102157 Active

Practice location

9860 Lee Hwy, Suite 1
Fairfax, VA 22030-1702

Call (703) 383-1616 Map

Fax (703) 383-1166

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1033102157

Paul Lewis Lastova, PT's National Provider Identifier is 1033102157, issued on Aug 24, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairfax, VA. The record was last updated on Jul 13, 2026.