Individual
MR. EVAN THOMAS LATOURRETTE
Active
Individual
MR. EVAN THOMAS LATOURRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N007080
NY
213E00000X
Podiatrist
N007080-1
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N007080-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N007080-1
NY
213ES0131X
Foot Surgery Podiatrist
N007080-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B1386739514
—
NY
05
—
ETINAD01
—
NY
Enumeration date
06/28/2017
Last updated
07/15/2022
Update your record
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