Andrew Paul Lastova, OT is a
Occupational Therapist based in Palisade, Colorado. Andrew Paul Lastova is licensed to practice in Colorado (license number ) and his current practice location is
151 East 3rd Street, Palisade, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 464-7500.
NPI number for Andrew Paul Lastova is 1922657139 and his current mailing address is 430 Keener St, Grand Junction, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922657139.
Healthcare Provider's Profile
| Full Name | Andrew Paul Lastova |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 151 East 3rd Street, Palisade, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922657139
- Provider Enumeration Date: 09/10/2019
- Last Update Date: 09/10/2019
Medical Identifiers
Medical identifiers for Andrew Paul Lastova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922657139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Paul Lastova is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andrew Paul Lastova, OT
430 Keener St,
Grand Junction, CO 81504-4723
Ph: () - | Andrew Paul Lastova, OT
151 East 3rd Street,
Palisade, CO 81526
Ph: (970) 464-7500 |
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