RICARDO LASTRA

CHICAGO, IL
NPI1053576389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL  036137663)
Enumeration Date2008-07-25
Last Update Date2022-10-24
Business Address
RICARDO LASTRA
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
Mailing Address
RICARDO LASTRA
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number: