Doctor Name: | DR. REBEKAH ESKEW LATHAM |
NPI Number: | 1912160383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 5101017954 |
Business Practice Address: | 1000 Harrington Blvd Mt Clemens, MI - 48043 |
Business Phone Number: | 5864938195 |
Business Fax Number: | |
Mailing Address: | 2100 Powell St, Suite 900 EMERYVILLE |
State: | CA |
Postal Code: | 946081826 |
Phone Number: | 5103502600 |
Fax Number: | 5108799100 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 03/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 5101017954 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |