MRS. STEPHANIE MARIE LASTRA (NPI# 1972121572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972121572 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE MARIE LASTRA |
| Other Name | STEPHANIE MARIE LAZCANO |
| Credential | HHP, LMT |
| Practice Address |
33319 Lilac Rd Valley Center CA 92082-3213 |
| Mailing Address |
Po Box 3412 Escondido CA 92033-3412 |
| Practice Telephone | 7604192878 |
| Mailing Telephone | 7604192878 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11243 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
33319 LILAC RD |
| City | VALLEY CENTER |
| State | CA |
| Zip Code | 92082-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851757322 | Janet Angel Nelson | Counselor | 50100 Golsh Rd., Valley Center, CA 92082 | 2016-01-13 |
| 1821279043 | Penny Blazej Licensed Clinical Social Worker Prof Corp | Social Worker | 28714 Valley Center Road, Suite E, Valley Center, CA 92082 | 2007-11-15 |
| 1255476867 | Robert Glenn Vertrees | Chiropractor | 27940 Valley Center Road, Valley Center, CA 92082 | 2007-02-21 |
| 1548317100 | Valley Center-pauma Unified School District | Local Education Agency (LEA) | 28751 Cole Grade Rd., Valley Center, CA 92082 | 2007-01-05 |
| 1023191137 | John Ernest Geis | Dentist | 50100 Golsh Road, Indian Health Council Dental Dept, Valley Center, CA 92082 | 2006-10-23 |
| 1831610864 | Misty Shasceen Taylor | Social Worker | 50100 Golsh Road, Valley Center, CA 92082 | 2017-06-29 |
| 1912198854 | Charles Stephen Smith | Internal Medicine | 50100 Golsh Rd, Valley Center, CA 92082 | 2007-08-06 |
| 1285756122 | Sandra Elena Primosch | Dentist | 50100 Golsh Rd, Valley Center, CA 92082 | 2007-04-04 |
| 1821030446 | Indian Health Council Pharmacy | Pharmacy | 50100 Golsh Rd, Valley Center, CA 92082 | 2006-06-11 |
| 1750437612 | Daniel J. Lee | Dentist | 10416 Couser Way, Valley Center, CA 92082-3018 | 2007-01-25 |
| Find all providers in zip 92082 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104489764 | Karen Dixon | Massage Therapist | 28172 Queensbridge Rd, Valley Center, CA 92082-6620 | 2019-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY CENTER |
| Zip Code | 92082 |
Please comment or provide details below to improve the information on MRS. STEPHANIE MARIE LASTRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.