My understanding is that they are lasted up until the toe which is generic. Nick from Bespoke England said that they were "cut to the last" if I'm remembering correctly. This doesn't apply to the Deco last though which is obviously different.
Does anyone know anything about Treccani Milano? They claim to make bespoke shoes and shirts using artisans based in Italy. They have a store in Yorkville a few doors down from Leatherfoot.