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NPI Code Detail

MEDICARE: LELANN SAITIA LATU DO

MEDICARE: LELANN SAITIA LATU DO
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
1390200000XStudent in an Organized Health Care Education/Training Program90034SC

General Provider Information

NPI Number : 1477255149
Entity Type Code : Individual
Provider Name (Legal Business Name) : LELANN SAITIA LATU DO
Provider Business Mailing Address
First Line : 9225 UNIVERSITY BLVD STE E2A
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9149
Country : US
Telephone Number : 843-906-4034
Fax Number :
Provider Business Practice Location Address
First Line : 9330 MEDICAL PLAZA DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9104
Country : US
Telephone Number : 843-906-4034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 04/23/2026

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Directions to “ LELANN SAITIA LATU DO” Practice Location

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