Individual
SUSAN Y LATTANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
300 STAFFORD STREET, SUITES 101, 154 & 161, SPRINGFIELD, MA 01104-2431
(413) 732-1928
(413) 734-1716
Mailing address
300 STAFFORD STREET, SUITES 101, 154 & 161, SPRINGFIELD, MA 01104-2431
(413) 732-1928
(413) 734-1716
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
168570
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087924A
—
MA
Enumeration date
09/03/2008
Last updated
06/23/2021
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