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NPI Code Detail

MEDICARE: MARGARETTE LATHAN LMFT

MEDICARE: MARGARETTE LATHAN LMFT
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
1106H00000XMarriage & Family TherapistMFC38955CA

General Provider Information

NPI Number : 1598895161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARETTE LATHAN LMFT
Provider Business Mailing Address
First Line : 529 N. RODEO DRIVE
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210
Country : US
Telephone Number : 310-278-7836
Fax Number : 310-276-5964
Provider Business Practice Location Address
First Line : 3031 S. VERMONT AVENUE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-766-2360
Fax Number : 323-373-2442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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