AUDREY MARIE LASTRA

NEW HAVEN, CT
NPI1104105600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CT  002593)
Enumeration Date2011-08-15
Last Update Date2011-08-15
Business Address
AUDREY MARIE LASTRA PA-C
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-770-8712
Mailing Address
AUDREY MARIE LASTRA PA-C
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-770-8712
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