Individual
DR. LATA CHANDI THATAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8400
(781) 744-5293
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8400
(781) 744-5293
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
14308
NH
207RH0003X
Hematology & Oncology Physician
Primary
238463
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081808A
—
MA
05
—
30208399
—
NH
Enumeration date
10/26/2005
Last updated
06/01/2012
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