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Individual

JOHN LATONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01044242A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200058110
IN
05
300097366
IN
01
M400038070
MEDICARE ID
IN
Enumeration date
05/23/2006
Last updated
03/10/2025
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