Individual
LATARSHA TAMMI MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 919-8591
Mailing address
2504 LEMONTREE LN, SPRINGDALE, MD 20774-7536
(301) 925-8419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0100002826
VA
363AM0700X
Medical Physician Assistant
C0003828
MD
363AS0400X
Surgical Physician Assistant
Primary
C03828
MD
Other
Enumeration date
09/15/2008
Last updated
10/07/2014
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