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Individual

DR. LONNIEJAY LATIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1309 W FAIRMONT PKWY, SUITE X, LA PORTE, TX 77571-6134
(281) 470-0543
(281) 842-7621
Mailing address
1309 W FAIRMONT PKWY, SUITE X, LA PORTE, TX 77571-6134
(281) 470-0543
(281) 842-7621

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
N7448
TX
208D00000X
General Practice Physician
Primary
N7448
TX

Other

Enumeration date
09/10/2010
Last updated
04/18/2013
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