Individual
AMANDA TIFFANY LATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE # B15, CLEVELAND, OH 44106-1716
(216) 844-8512
(216) 201-5152
Mailing address
11100 EUCLID AVE # B15, CLEVELAND, OH 44106-1716
(216) 844-8512
(216) 201-5152
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
095534
OH
Other
Enumeration date
01/15/2007
Last updated
12/26/2020
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