Individual
JILL A. LATHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3404 W SYLVANIA AVE, TOLEDO, OH 43623-4467
(419) 407-1422
Mailing address
2200 JEFFERSON AVE, 4TH FLOOR, TOLEDO, OH 43624-1120
(419) 251-2673
(419) 251-0916
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35049283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0645127
—
OH
Enumeration date
09/13/2005
Last updated
07/08/2007
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