Individual
DR. LATTEE W CHINAKARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1524 SUNSET BLVD, SUITE B, STEUBENVILLE, OH 43952-1380
(740) 282-9780
(740) 282-9750
Mailing address
1524 SUNSET BLVD, SUITE B, STEUBENVILLE, OH 43952-1380
(740) 282-9780
(740) 282-9750
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35048710C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132280
ANTHEM BLUE CROSS
OH
01
—
000089262
MOUNTAIN STATE BLUE CROSS
WA
05
—
0559284
—
OH
Enumeration date
01/10/2006
Last updated
04/06/2012
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