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Contact Information

MARIA D LASTOVKA, N.P.
768 HIGHWAY 46 S
DICKSON, TN37055-2556
 Phone: 615-441-4400
 Fax: 615-441-4443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARIA D LASTOVKA · (Female)

NPI # 1265729925
Status Active
Credentials N.P.
Entity Individual
Enumeration date 07/01/2011
Last updated 05/22/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • TN License # 15909
  • TN License # APN15909
  • TN Medicaid 1525572
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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