Individual
DR. LATHA URS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4266
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4266
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
35088141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2836640
—
OH
Enumeration date
06/11/2008
Last updated
03/24/2023
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