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Individual

JONATHAN G LATOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4601 50TH ST, SUITE 112, LUBBOCK, TX 79414-3513
(806) 785-8000
(809) 792-7174
Mailing address
PO BOX 93882, LUBBOCK, TX 79493-3882
(806) 785-8000
(806) 782-7174

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K6081
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116368501
TX
Enumeration date
04/06/2006
Last updated
07/06/2010
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