Individual
MRS. CHRISTIE PHEONA LATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 634-8111
Mailing address
204 COUNTY ROAD 120, NACOGDOCHES, TX 75965-8737
(404) 274-0414
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP130797
TX
363LF0000X
Family Nurse Practitioner
Primary
AP130797
TX
363LF0000X
Family Nurse Practitioner
C-APN.0102271-C-NP
CO
363LF0000X
Family Nurse Practitioner
C-RXN.0101484-C-NP
CO
Other
Enumeration date
10/24/2008
Last updated
06/07/2024
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