Lastra, Carlos
Lastra, Carlos is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Lastra, Carlos can be contacted via phone (732) 339-7870.Contact Information
Primary practice address
254 Easton Ave
New Brunswick NJ 08901-1766
Phone: (732) 339-7870
Fax: (732) 745-1632
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 25MA05442600 | New Jersey |
Profile Details
NPI number | 1144249137 |
---|---|
LBN Legal business name | Lastra, Carlos |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144249137 | NPPES |
New Jersey | MEDICAID | 7295804 |
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