Christie Pheona Lathan FNP-BC

NPI 1215180047 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1215180047
Gender Female
Enumeration Date 10/24/2008
Last Updated 04/16/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
310 GASLIGHT BLVD
LUFKIN TX, 75904-3133, US
Phone (936) 632-8787
Fax
Business Location
1431 COUNTY ROAD 260
NACOGDOCHES TX, 75965-7319, US
Phone (404) 274-0414
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN170210 NP
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According to our database, Christie Pheona Lathan FNP-BC NPI is 1215180047, taxonomy code is 363LF0000X and license number is RN170210 NP, license state is located at Georgia. Christie Pheona Lathan FNP-BC physically located at 310 Gaslight Blvd, Lufkin TX, 75904-3133. NPI Number Christie Pheona Lathan FNP-BC has the Individual type.

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1215180047 NPI number is provided on an as is basis without warranty of any kind. 1215180047 is maintained by the National Plan & Provider Enumeration System. The contents of Christie Pheona Lathan FNP-BC are for informational purposes only.