| Doctor Name: | MR. STEPHEN M LATHROP |
| NPI Number: | 1508932856 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.PED. |
| License Number: | |
| Business Practice Address: | 1106 N Allen St Suite A Robinson, IL - 624541116 |
| Business Phone Number: | 6185443595 |
| Business Fax Number: | |
| Mailing Address: | 310 S Webster St, ROBINSON |
| State: | IL |
| Postal Code: | 624542837 |
| Phone Number: | 6185449220 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 10/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |