Individual
DR. ADRIAN L LATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4081
(336) 716-3065
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2008-00123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910420
—
NC
Enumeration date
12/13/2007
Last updated
06/09/2014
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