Individual
JOHN LATERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9441
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D37018
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288621900
—
MD
Enumeration date
06/10/2006
Last updated
08/15/2022
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