Whalio Doctors

NPI 1033102157

Paul Lewis Lastova, PT

Practitioner Specialist Fairfax, VA

Practice location

Address
9860 Lee Hwy Suite 1, Fairfax, VA 22030-1702
Phone
(703) 383-1616
Fax
(703) 383-1166

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X

Registry record

NPI
1033102157
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Aug 2005
Record last updated
13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.