Individual
AUDRA A LATHBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32242 BLACKWATER RD, FRANKFORD, DE 19945-2937
(302) 539-0596
Mailing address
32242 BLACKWATER RD, FRANKFORD, DE 19945-2937
(302) 539-0596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0043491
DE
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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