Individual
DR. NANCY LATAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9785 MAROON CIR STE G104, ENGLEWOOD, CO 80112-5922
(303) 779-1172
Mailing address
PO BOX 17982, BELFAST, ME 04915
(303) 388-4256
(303) 388-7802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0027713
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10385736
CAQH
—
05
—
78439051
—
CO
Enumeration date
08/17/2006
Last updated
05/05/2023
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