| Doctor Name: | MR. THOMAS ANTHONY LATA |
| NPI Number: | 1053610659 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNA, ACNP |
| License Number: | 546669 |
| Business Practice Address: | 2550 Sister Mary Columba Dr Red Bluff, CA - 960804327 |
| Business Phone Number: | 5305298000 |
| Business Fax Number: | |
| Mailing Address: | 371 Barnhart Cir, SACRAMENTO |
| State: | CA |
| Postal Code: | 958351526 |
| Phone Number: | 9166071085 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2011 |
| NPI Last Update Date: | 03/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 546669 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |