Healthcare Provider Details

I. General information

NPI: 1932417102
Provider Name (Legal Business Name): LAUREN STEINER LATTA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN RUTH STEINER

II. Dates (important events)

Enumeration Date: 09/21/2010
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1823 N BROWN RD
LAWRENCEVILLE GA
30043-8121
US

IV. Provider business mailing address

2221 PEACHTREE RD NE # D336
ATLANTA GA
30309-1148
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-5307
  • Fax: 404-351-5308
Mailing address:
  • Phone: 404-351-5307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH5928
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016819
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: