Individual
RONALD MICHAEL LATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 MARKET ST, NEW BERN, NC 28560-6704
(252) 672-0224
(252) 672-0227
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 672-0224
(252) 672-0227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0035405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149X
BLUE CROSS
NC
01
—
2192365D
MEDICARE PTAN
NC
05
—
891149X
—
NC
Enumeration date
08/25/2005
Last updated
01/29/2015
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