Doctor Name: | LORETTA LATSNIC |
NPI Number: | 1083021224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA 16287 -NP |
Business Practice Address: | 24701 Euclid Ave Euclid, OH - 441171714 |
Business Phone Number: | 4408292249 |
Business Fax Number: | |
Mailing Address: | 2352 Columbia Rd, WESTLAKE |
State: | OH |
Postal Code: | 441454103 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | COA 16287 -NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |