STEPHANIE KATHERINE LASTRA

FUQUAY VARINA, NC
NPI1215702766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  5019168)
Enumeration Date2023-11-15
Last Update Date2024-01-30
Business Address
STEPHANIE KATHERINE LASTRA PMHNP
201 E ACADEMY ST
FUQUAY VARINA, NC 27526-2248
Phone number: 910-390-0363
Mailing Address
STEPHANIE KATHERINE LASTRA PMHNP
201 E ACADEMY ST
FUQUAY VARINA, NC 27526-2248
Phone number: 910-390-0363
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