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Individual

MR. STEPHEN M LATHROP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.PED.

Contact information

Practice address
1106 N ALLEN ST, SUITE A, ROBINSON, IL 62454-1116
(618) 544-3595
Mailing address
310 S WEBSTER ST, ROBINSON, IL 62454-2837
(618) 544-9220

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
IL

Other

Enumeration date
11/28/2006
Last updated
10/22/2007
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