Individual
DR. BRUCE V LATTYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 SIERRA COLLEGE DR STE 240, GRASS VALLEY, CA 95945-5086
(530) 273-3400
(530) 274-3400
Mailing address
300 SIERRA COLLEGE DR STE 240, GRASS VALLEY, CA 95945-5086
(530) 273-3400
(530) 274-3400
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A62583
CA
Other
Enumeration date
05/13/2008
Last updated
08/29/2019
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