Individual provider · Type 1 NPI

Thalia Lastra

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1942085147 Active

Practice location

3300 S University Dr
Fort Lauderdale, FL 33328-2004

Call (786) 424-5983 Map

Mailing address

4125 Pine Green Run
Lake Worth, FL 33467-3928

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942085147

Thalia Lastra's National Provider Identifier is 1942085147, issued on Aug 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 28, 2023.