Dorothy Ann Lastine
Individual provider Active NPI Home Health Aide · Pine Island, MN
NPI 1003418245 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1003418245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1028 Amanda CT SW
Pine Island, MN 55963-6795 - Phone
- (507) 254-7523
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
1028 Amanda CT SW
Pine Island, MN 55963-6795
Mailing address
1028 Amanda CT SW
Pine Island, MN 55963-6795
Other providers in Pine Island, MN
- Cori Klassen
- Jessica Konik
- Brittany Kowalewski
- Lakewood Dental - Pine Island LLC
- Susan H. Langins
- Lindsey Lawler
- McBe Company
- Meints Chiropractic & Wellness PA
- Meints Chiropractic Health Center PA
- Bradley Joel Meints
All providers in Pine Island, MN · Home Health Aide in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.