Individual
DR. TARA D LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 E. MARYDALE AVE, SUITE 1, SOLDOTNA, AK 99669-2949
(907) 262-3119
(907) 260-7320
Mailing address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 545-9030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD60157114
WA
207Q00000X
Family Medicine Physician
3076
AK
207Q00000X
Family Medicine Physician
Primary
6010
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2357
—
AK
05
—
RH177FQ
—
AK
Enumeration date
09/20/2006
Last updated
09/01/2023
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