Individual
MR. JAMES MICHAEL LATHROUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5601 LOCH RAVEN BLVD, GOOD SAMARITAN HOSPITAL - PRE-ADMISSION TESTING, BALTIMORE, MD 21239-2905
(443) 444-8000
(443) 444-4725
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-4764
(443) 444-4725
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C-421
MD
Other
Enumeration date
04/22/2006
Last updated
06/23/2008
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