NICHOLAS RICHARD LASTOVKA NPI 1093352742

NPI Information

NPI: 1093352742
Provider Name: NICHOLAS RICHARD LASTOVKA
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
224 SEIBERLING DR
NORTHFIELD, OH
ZIP 44067
Phone: (216) 317-0527
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Nicholas Richard Lastovka is a student in an organized health care education training program in Northfield, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicholas Richard Lastovka NPI is 1093352742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

224 SEIBERLING DR
NORTHFIELD, OH
ZIP 44067-237
Phone: (216) 317-0527

The enumeration date for this NPI number is 12/2/2019 and was last updated on 12/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer		OHIO	No
2	390200000X	Student in an Organized Health Care Education/Training Program			OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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