Individual
LYMAN WILLIAM WHITLATCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
202 W WILLOW AVE, SUITE 305, VISALIA, CA 93291-6238
(559) 320-0530
(559) 320-0539
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A108303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841218583
—
CA
Enumeration date
04/14/2008
Last updated
02/05/2016
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