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Individual

JOSEPH L LARATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1169 EASTERN PKWY STE 400, LOUISVILLE, KY 40217-1412
(502) 413-5777
Mailing address
743 E BROADWAY, # 171, LOUISVILLE, KY 40202-1711

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
49774
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300009400
IN
05
7100485470
KY
Enumeration date
04/06/2012
Last updated
02/03/2021
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