| Doctor Name: | LATHA PRASANNAN |
| NPI Number: | 1013947043 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | L6145 |
| Business Practice Address: | 4102 24th St Ste 201 Lubbock, TX - 794101806 |
| Business Phone Number: | 8067254840 |
| Business Fax Number: | 8067254847 |
| Mailing Address: | 3420 22nd Pl, LUBBOCK |
| State: | TX |
| Postal Code: | 794101314 |
| Phone Number: | 8067255844 |
| Fax Number: | 8067236532 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0207X |
| License Number: | L6145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Hematology-Oncology |
| Taxonomy Definition: | A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |