Individual
TARA LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 WEST GATE BLVD, AUSTIN, TX 78745-1479
(512) 693-4373
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01571
TX
Other
Enumeration date
06/18/2018
Last updated
03/01/2024
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