Individual
LUCIA CARMEL LATAWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5243 190TH LN NE, WYOMING, MN 55092-9704
(651) 440-6521
Mailing address
5243 190TH LN NE, WYOMING, MN 55092-9704
(651) 440-6521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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