Individual
DR. DANIEL T LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
620 WOODMERE AVE, TRAVERSE CITY, MI 49686-3397
(231) 946-8822
(231) 947-0977
Mailing address
620 6TH ST, TRAVERSE CITY, MI 49684-2420
(231) 933-9833
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DL000642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2879040
—
MI
Enumeration date
06/03/2006
Last updated
04/21/2011
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