Individual
DR. ROBERT KEITH LATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
KENNER ARMY HEALTH CLINIC, PRIMARY CARE DIVISION, FT LEE, VA 23801
(804) 734-9251
Mailing address
12701 CHESDIN LANDING DR, CHESTERFIELD, VA 23838-3232
(804) 590-1638
(757) 314-7511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
116287
NC
207P00000X
Emergency Medicine Physician
Primary
L0101051489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005867886
—
VA
05
—
005867894
—
VA
05
—
1689653396
—
VA
Enumeration date
01/11/2006
Last updated
05/02/2008
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