Individual
LAURIE LATCHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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