Lastra, Ricardo

Lastra, Ricardo is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Lastra, Ricardo can be contacted via phone (888) 824-0200.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (888) 824-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036137663 Illinois

Profile Details

NPI number 1053576389
LBN Legal business name Lastra, Ricardo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated Oct 24th, 2022 - about 4 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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