Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brynn L Lastovica, MD

Individual provider Family Medicine Physician · NPI 1861786477

Brynn L Lastovica, MD is a Family Practice in Omaha, Nebraska. Qualified in 2011, 15 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
15
Licensed in
NE
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8343 S 168th Ave
Omaha, NE 68136-1677
Phone: (402) 595-1227
Fax: (402) 595-1284
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27866 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 6476 (NE)

Record details

NPI number1861786477
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2011
Last updated in NPPESJune 16, 2017

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Omaha