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

Tatiana Lastovkina

Individual provider Pharmacist · NPI 1063163889

Tatiana Lastovkina is a Pharmacist in Middleton, Wisconsin. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

3185 Deming Way
Middleton, WI 53562-1435
Phone: (608) 263-1292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 28RI04213500 (NJ)

Record details

NPI number1063163889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025

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