Individual
NEIL LATTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 COLONIAL WAY, RISING SUN, MD 21911-2272
(410) 658-1112
Mailing address
101 COLONIAL WAY, RISING SUN, MD 21911-2272
(302) 290-3543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0058354
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080185727
MEDICARE RAILROAD
MD
05
—
795704100
—
MD
Enumeration date
05/16/2006
Last updated
05/08/2023
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