Individual
ELLEN S LATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 CEDAR ST, STE 110, WELLESLEY, MA 02481-3527
(781) 591-8300
(781) 591-8320
Mailing address
110 CEDAR ST, STE 110, WELLESLEY, MA 02481-3527
(781) 591-8300
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
41279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104825
—
MA
Enumeration date
09/26/2005
Last updated
07/25/2017
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