Individual
MRS. LAVONE RENITA LATTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5702 CENTER DR, N/A, TEMPLE HILLS, MD 20748-2302
(301) 906-7168
(301) 420-3480
Mailing address
5702 CENTER DR, N/A, TEMPLE HILLS, MD 20748-2302
(301) 906-7168
(301) 420-3480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M02482
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M02482
MD
Other
Enumeration date
05/27/2013
Last updated
05/27/2013
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