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Individual
ALICIA LATHAM
Active
Individual
ALICIA LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
293665
NY
207SG0201X
Clinical Genetics (M.D.) Physician
293665
NY
Other
Enumeration date
06/14/2013
Last updated
10/23/2019
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