Tiffany Latta D.O.

NPI 1013207851 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1013207851
Gender Female
Enumeration Date 04/13/2011
Last Updated 07/09/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
740 S LIMESTONE ST
L543
LEXINGTON KY, 40536-0001, US
Phone (859) 323-5045
Fax (859) 257-2418
Business Location
740 S LIMESTONE ST
L543
LEXINGTON KY, 40536-0001, US
Phone (859) 323-5045
Fax (330) 375-7779
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Ms. Tiffany Latta D.O. NPI is 1013207851, taxonomy code is 390200000X Tiffany Latta D.O. physically located at 740 S Limestone St, Lexington KY, 40536-0001. NPI Number Tiffany Latta D.O. has the Individual type.

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1013207851 NPI number is provided on an as is basis without warranty of any kind. 1013207851 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Latta D.O. are for informational purposes only.