Individual
ANTHONY S LATTANZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20 OHLTOWN RD, SUITE 2F, YOUNGSTOWN, OH 44515-2331
(330) 884-1583
(330) 884-1588
Mailing address
20 OHLTOWN RD, SUITE 2F, YOUNGSTOWN, OH 44515-2331
(330) 884-1583
(330) 884-1588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020164
—
OH
Enumeration date
10/04/2005
Last updated
05/31/2012
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