Individual
EDITH L. LATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
259 CHORUS LN, TOLEDO, OH 43615-6117
(419) 531-4294
Mailing address
259 CHORUS LN, TOLEDO, OH 43615-6117
(419) 531-4294
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 092194
OH
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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