Juan Lastra, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

016506 Issued in LA

Practice address

3723 Edenborn Ave
Metairie, LA 70002-1519

Phone

(504) 400-3723

Fax

(504) 885-1436

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1730110081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021519",
            "telephone_number": "504-400-3723",
            "fax_number": "504-885-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021519",
            "telephone_number": "504-400-3723",
            "fax_number": "504-885-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTRA",
        "first_name": "JUAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "016506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1354805",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Craig Laseur, LAC
• Cyntrelle Carlise Lash
• Jenna Marie Laskey, D.O.
• Maerin Joan Laskey, D.O.
• Ericka Arianne Lassair
• Hannah Latapie
• Folashade Lateef
• Latham Lifeworks, LLC
• Kenzy Latham
• Haley Schexnayder Latour, PHARM. D.

• Interventional Cardiology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Interventional Cardiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.