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NPI Profile for LISELLE LATHROUM in SAN JUAN, PR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1548512460 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 10/03/2012 | |
| Last updated | 10/03/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISELLE LATHROUM
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LISELLE LATHROUM, MD