Individual
LAURIE LATCHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9883
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
9930
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000738
—
NH
05
—
0RE4611
—
VT
Enumeration date
08/09/2006
Last updated
10/28/2011
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