Wellformed AI

NPI 1689203887 · live from the CMS NPI Registry

Kendra Dawn Lastowka, MD

Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Laramie, WY. National Provider Identifier 1689203887, active.

NPI record

NPI1689203887 Type 1 · individual
StatusActive
Primary specialtyOrthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X
Practice location1909 Vista Dr, Laramie, WY 82070
Practice phone307-745-8851
Mailing addressPo Box 30116, Billings, MT 59107
EnumeratedApril 8, 2020
Last updatedOctober 14, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary207XS0117X20141A (WY)
Orthopaedic Surgery207X00000X284772 (MA)
Orthopaedic Surgery, Orthopaedic Surgery of the Spine207XS0117XDR.0074813 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.