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Individual

BROOKE A LATHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2760 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8501
(757) 983-8650
(757) 983-8673
Mailing address
2760 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8501
(757) 983-8650
(757) 983-8673

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024086916
VA

Other

Enumeration date
01/14/2025
Last updated
06/03/2026
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