Individual
MICHAEL ROBERT LATURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9903
(909) 469-2152
Mailing address
6069 SAN FELIPE CT, RANCHO CUCAMONGA, CA 91737-3008
(909) 767-2248
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95022932
CA
Other
Enumeration date
08/18/2022
Last updated
05/06/2023
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