IndividualActive
Alaina Lastres
NPI 1184758286 · Psychiatric/Mental Health Nurse Practitioner · Bourbonnais, IL
Provider details
- NPI number
- 1184758286
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209020254 (IL)
Practice location
21 Heritage Dr
Bourbonnais, IL 60914-1465
Phone: (815) 937-8204
Fax: (815) 937-8798
Mailing address
338 Prairie Ridge Dr
Minooka, IL 60447-8249
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2024-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.