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1265729925
MARIA D. LASTOVKA
DICKSON, TN
NPI
1265729925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN APN15909)
Enumeration Date
2011-07-01
Last Update Date
2021-01-28
Business Address
MARIA D. LASTOVKA N.P.
127 CRESTVIEW PARK DR SUITE 205
DICKSON, TN 37055-2855
Phone number: 615-441-4562
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Mailing Address
MARIA D. LASTOVKA N.P.
127 CRESTVIEW PARK DR SUITE 209
DICKSON, TN 37055-2855
Phone number: 615-446-5121
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