Provider Demographics
NPI:1710323043
Name:LASTRAPES, YOLANDA ROMUALD (RN)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:ROMUALD
Last Name:LASTRAPES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 KENILWORTH PKWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-5714
Mailing Address - Country:US
Mailing Address - Phone:225-763-6594
Mailing Address - Fax:
Practice Address - Street 1:635 KENILWORTH PKWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-5714
Practice Address - Country:US
Practice Address - Phone:225-763-6594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN057774163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse