Individual
LAUREN S. LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 FILLMORE AVE, ALEXANDRIA, VA 22311-5070
(703) 578-1000
Mailing address
218 CAMERON STATION BLVD, ALEXANDRIA, VA 22304-7774
(703) 231-8950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007823
VA
225X00000X
Occupational Therapist
104168
MN
Other
Enumeration date
05/17/2013
Last updated
06/11/2019
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