Individual
MS. BARBARA LATHIA TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2105 W GENESEE ST, SYRACUSE, NY 13219-1698
(315) 468-3239
(315) 468-2917
Mailing address
927W.LAFAYETTE, SYRACUSE, NY 13205
(315) 638-1650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
219573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219573
LPN LICENSE
NY
Enumeration date
06/29/2012
Last updated
06/29/2012
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