JORDAN L LASTRA

PHILADELPHIA, PA
NPI1396314100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MT222893)
Enumeration Date2021-06-24
Last Update Date2021-06-24
Business Address
Dr. JORDAN L LASTRA MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 800-836-7536
Mailing Address
Dr. JORDAN L LASTRA MD
1310 IRVING ST UNIT 3
PHILADELPHIA, PA 19107-6269
Phone number:
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