Individual
LATASHIA UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
431 HOMER RD, MINDEN, LA 71055-2933
(318) 377-8855
(318) 377-8852
Mailing address
431 HOMER RD, MINDEN, LA 71055-2933
(318) 377-8855
(318) 377-8852
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.204147
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06384
—
LA
Enumeration date
05/16/2008
Last updated
03/22/2013
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