Individual
MICHAEL WILLIAM LATTANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6204 BALCONES DR, AUSTIN, TX 78731-4214
(512) 427-9400
(512) 342-2723
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(214) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
T5155
TX
207RX0202X
Medical Oncology Physician
2022-01073
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2016
Last updated
09/13/2022
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