Lastra, Juan

Lastra, Juan is an individual health care provider with primary practice located at 3723 Edenborn Ave , Metairie LA 70002-1519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Lastra, Juan can be contacted via phone (504) 400-3723.

Contact Information

Primary practice address
3723 Edenborn Ave Metairie LA 70002-1519
Phone: (504) 400-3723
Fax: (504) 885-1436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 016506 Louisiana

Profile Details

NPI number 1730110081
LBN Legal business name Lastra, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 12th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730110081 NPPES
Louisiana MEDICAID 1354805

Popular Providers