Individual
NATALIE LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10611 NW STATE ROAD 20, BRISTOL, FL 32321-3441
(850) 643-1033
Mailing address
912 BRANDEIS AVE, PANAMA CITY, FL 32405-3904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
FL
05
—
000000000000000000
—
FL
Enumeration date
09/17/2019
Last updated
09/17/2019
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