Lastra Gonzalez, Guido

Lastra Gonzalez, Guido is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Lastra Gonzalez, Guido can be contacted via phone (573) 882-8445.

Contact Information

Primary practice address
1 Hospital Dr Columbia MO 65212-0001
Fax: (573) 884-7877
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2010032127 Missouri

Profile Details

NPI number 1558454017
LBN Legal business name Lastra Gonzalez, Guido
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Sep 15th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558454017 NPPES
Missouri MEDICAID 204370209

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