Individual
LESLIE LATTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
750 N ESTRELLA PKWY STE 40, GOODYEAR, AZ 85338-9279
(623) 877-6180
(623) 889-3478
Mailing address
PO BOX 5204, GOODYEAR, AZ 85338-0603
(623) 889-3477
(623) 889-3478
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6559
AZ
Other
Enumeration date
10/04/2016
Last updated
03/07/2023
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