| Bruce Lastra, | |
|
7 Page Hill Rd, Berlin, NH 03570-3531 | |
| (603) 752-2300 | |
| (603) 326-5831 |
| Full Name | Bruce Lastra |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 7 Page Hill Rd, Berlin, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265403794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 1625 (Maine) | Primary |
| Entity Name | Waldo County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841397932 PECOS PAC ID: 2163332883 Enrollment ID: O20040428001058 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Lastra, 59 Page Hill Rd, Berlin, NH 03570-3531 Ph: (603) 752-2200 | Bruce Lastra, 7 Page Hill Rd, Berlin, NH 03570-3531 Ph: (603) 752-2300 |
Marianne Jackson, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 133 Pleasant St, Berlin, NH 03570 Phone: 603-752-2040 Fax: 603-752-7797 | |
Krzysztof Plociennik, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7 Page Hill Rd, Berlin, NH 03570 Phone: 603-752-2200 Fax: 603-326-5999 | |
Dr. Stephen A Kull, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7 Page Hill Rd, Berlin, NH 03570 Phone: 603-752-2300 Fax: 603-752-8231 |