National Provider Identifier

Emilio Lastarria, MD

Emilio Lastarria, MD is listed in the NPPES registry with a primary specialty of Urology Physician in Geneva, NY and a listed phone number of (315) 719-0066.

NPI 1760587125Geneva, NYUrology Physician

Profile Overview

NPI
1760587125
Provider Type
Individual
Primary Specialty
Urology Physician
Enumeration Date
September 13, 2006
Last Updated
March 04, 2026

Practice Location

  • 158 North St
  • Geneva, NY 14456-1647

Phone: (315) 719-0066

Mailing Address

  • 35 Mason St
  • Suite 214
  • Geneva, NY 14456-1133

Specialties

  • Urology Physician (208800000X)
  • Urology Physician (208800000X)

Endpoints

  • him@marshfieldclinichealthsystem.cernerdirect.com

    Direct Messaging Address | Marshfield, WI 54449

Full Record
NPI
1760587125
Entity Type
Individual
Last Name
Lastarria
First Name
Emilio
Credential
MD
Mailing Street Address
35 Mason St
Mailing Address Line 2
Suite 214
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-1133
Mailing Country
US
Mailing Phone
(315) 230-5646
Mailing Fax
(315) 230-5645
Practice Street Address
158 North St
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1647
Practice Country
US
Practice Phone
(315) 719-0066
Practice Fax
(315) 719-0373
Enumeration Date
September 13, 2006
Last Updated
March 04, 2026
Deactivation Date
January 24, 2026
Reactivation Date
March 04, 2026
Sex
Male
Sole Proprietor
No
Certification Date
December 21, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Urology Physician (208800000X), Urology Physician (208800000X)
Other Identifiers
271102800 (FL), P00082844 (FL, Rr Medicare)