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Organization

DR. DEBRA K. LATTA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBRA K. LATTA DPM (CEO)
(614) 893-8437
Entity
Organization

Contact information

Practice address
960 S BRINKER AVE, COLUMBUS, OH 43204-1724
(614) 668-8542
Mailing address
1799 W 5TH AVE, SUITE 103, COLUMBUS, OH 43212-2322
(614) 893-8437

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002939
OH

Other

Enumeration date
06/03/2010
Last updated
06/03/2010
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