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1053576389
RICARDO LASTRA
CHICAGO, IL
NPI
1053576389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036137663)
Enumeration Date
2008-07-25
Last Update Date
2022-10-24
Business Address
RICARDO LASTRA
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
RICARDO LASTRA
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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