Individual
GINA FRANCES LATTANZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
209 MAIN ST STE A, SOUTHINGTON, CT 06489-2539
(860) 621-8331
(860) 621-5169
Mailing address
209 MAIN ST STE A, SOUTHINGTON, CT 06489-2539
(860) 621-8331
(860) 621-5169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6629
CT
363LP0200X
Pediatric Nurse Practitioner
6629
CT
Other
Enumeration date
08/08/2016
Last updated
10/24/2017
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