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1730110081
JUAN LASTRA
METAIRIE, LA
NPI
1730110081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0011X Internal Medicine, Interventional Cardiology
(Licence: LA 016506)
Enumeration Date
2006-07-05
Last Update Date
2013-08-12
Business Address
-- JUAN LASTRA M.D.
3723 EDENBORN AVE
METAIRIE, LA 70002-1519
Phone number: 504-400-3723
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Mailing Address
-- JUAN LASTRA M.D.
3723 EDENBORN AVE
METAIRIE, LA 70002-1519
Phone number: 504-400-3723
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