Individual provider · Type 1 NPI

Kelly Kennett Lastrapes, MD

Pediatric Hematology & Oncology Physician · Richmond, VA

NPI number 1760642953 Active

Practice location

1250 E Marshall St, Dept. Of Pediatrics:oncology/hematology
Richmond, VA 23298-5051

Fax (804) 828-0504

Mailing address

PO Box 91734
Richmond, VA 23291-1734

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician Primary 2080P0207X0101251167 (VA)
Pediatrics Physician 208000000X0101251167 (VA)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1760642953

Kelly Kennett Lastrapes, MD's National Provider Identifier is 1760642953, issued on Jun 11, 2008. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Richmond, VA. The record was last updated on Oct 5, 2016.