Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey Marie Lastra, PA-C

Individual provider Medical Physician Assistant · NPI 1104105600

Audrey Marie Lastra, PA-C is a Physician Assistant in New Haven, Connecticut. Qualified in 2011, 15 years ago. Practices with Connecticut Gi PLLC, a 245-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1450 Chapel St
New Haven, CT 06511-4405
Phone: (203) 770-8712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 002593 (CT)

Record details

NPI number1104105600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2011
Last updated in NPPESAugust 15, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Connecticut Gi Pllc — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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