Organization
THOMAS G LATIOLAIS MD
Active
Other names
Acorn to Oak Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G LATIOLAIS MD (OWNER)
(318) 949-0539
Entity
Organization
Contact information
Practice address
1025 HIGHWAY 80, HAUGHTON, LA 71037-7425
(318) 949-0539
(318) 949-0759
Mailing address
1025 HIGHWAY 80, HAUGHTON, LA 71037-7425
(318) 949-0539
(318) 949-0759
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016345
LA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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