Doctor Name: | LATONYA LAVETTE DUNSON |
NPI Number: | 1073952578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 14446-NP |
Business Practice Address: | 2912 Springboro Rd Suite 201 Moraine, OH - 454391674 |
Business Phone Number: | 9374610800 |
Business Fax Number: | 9374618694 |
Mailing Address: | 2912 Springboro Rd, Suite 201 MORAINE |
State: | OH |
Postal Code: | 454391674 |
Phone Number: | 9374610800 |
Fax Number: | 9374618694 |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 10/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14446-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |