| Doctor Name: | DR. WILLOUGHBY (NONE) LATHEM |
| NPI Number: | 1902123078 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 007418 |
| Business Practice Address: | 122 Old Logging Rd Stamford, CT - 069034805 |
| Business Phone Number: | 2033291946 |
| Business Fax Number: | |
| Mailing Address: | 122 Old Logging Rd, STAMFORD |
| State: | CT |
| Postal Code: | 069034805 |
| Phone Number: | 2033291946 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2010 |
| NPI Last Update Date: | 04/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174H00000X |
| License Number: | 007418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Health Educator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor |