Individual
MR. JAMES PHILLIP LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-2227
(918) 684-4995
Mailing address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 687-5251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 95202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200252910
—
OK
Enumeration date
04/18/2006
Last updated
09/08/2009
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