Individual
DR. DARLA K LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1010 S STRATFORD RD, WINSTON SALEM, NC 27103-3206
(336) 768-9262
(336) 768-4481
Mailing address
1010 S STRATFORD RD, WINSTON SALEM, NC 27103-3206
(336) 768-9262
(336) 768-4481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1353
NC
152W00000X
Optometrist
S-659 TA-352
AL
Other
Enumeration date
11/30/2006
Last updated
08/26/2009
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