Individual
SONRISA A LATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6320 N LA CHOLLA BLVD STE 200, TUCSON, AZ 85741-3549
(520) 382-8200
(520) 297-3505
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2784
AZ
363AS0400X
Surgical Physician Assistant
Primary
2784
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
771643
—
AZ
Enumeration date
03/15/2006
Last updated
02/03/2021
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