NPI 1083011688
Lidiya Pastukh
Practice location
- Address
- 5301 S Congress Ave, Atlantis, FL 33462-1149
- Phone
- (561) 965-7300
- Mailing address
- 5925 NW Foust Circle, Port Saint Lucie, FL 34986
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1083011688
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Nov 2014
- Record last updated
- 25 Nov 2014
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.