Doctor Name: | VALERIE LASTITION |
NPI Number: | 1114247657 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 2064882 |
Business Practice Address: | 835 7th St Building B, Suite 4 Clermont, FL - 347112190 |
Business Phone Number: | 3522436280 |
Business Fax Number: | |
Mailing Address: | 835 7th St, Building B, Suite 4 CLERMONT |
State: | FL |
Postal Code: | 347112190 |
Phone Number: | 3522436280 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2010 |
NPI Last Update Date: | 06/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP 2064882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |