MEDICARE: LATHAN FLAKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1265361356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATHAN FLAKE

Provider Business Mailing Address
First Line	:	2131 WAYLES CT
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28056-8472
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 WAYLES CT
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28056-8472
Country	:	US
Telephone Number	:	980-285-0664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

Similar Medicare Providers

1942315486 — SULABHA GODBOLE GUPTA M.D.
Practice Location Address:

2910 EAST FRANKLIN BLVD #1
GASTONIA, NC
28056-7225

Practice Phone: 704-648-0460
Practice Fax: 855-446-7146

1811171325 — DR. CARI WILCOX DILLARD MD
Practice Location Address:

2910 EAST FRANKLIN BLVD #1
GASTONIA, NC
28056-7225

Practice Phone: 704-648-0460
Practice Fax: 855-446-7146

1356003693 — DANIELA FREDERICK LCSWA
Practice Location Address:

3050 RIVERWOOD PKWY STE B
GASTONIA, NC
28056-6002

Practice Phone: 704-874-9005
Practice Fax: 704-874-9001

1174358972 — ASHLEY GUERRA DPT
Practice Location Address:

3916 E FRANKLIN BLVD STE 100
GASTONIA, NC
28056-9221

Practice Phone: 704-862-4899
Practice Fax:

1457289704 — HEYDY SAAVEDRA
Practice Location Address:

4301 CHELSEA WAY
GASTONIA, NC
28056-8821

Practice Phone: 704-780-6201
Practice Fax:

1609872514 — VALERIE HOLMES WADDELL DDS
Practice Location Address:

3044 E FRANKLIN BLVD STE 4
GASTONIA, NC
28056-9485

Practice Phone: 704-865-5252
Practice Fax: 704-869-9698

Directions to “ LATHAN FLAKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.