Individual
DR. MICHELINE LATALIZA EPSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 LAKE BOONE TRL STE 200, RALEIGH, NC 27607-7529
(919) 926-8890
Mailing address
4600 LAKE BOONE TRL STE 200, RALEIGH, NC 27607-7529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-01497
NC
207Q00000X
Family Medicine Physician
275648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
07/13/2011
Last updated
02/14/2022
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