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1194012260
NIKESH LATH
DECATUR, IL
NPI
1194012260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IL 036-138440)
Enumeration Date
2011-07-08
Last Update Date
2015-10-27
Business Address
Dr. NIKESH LATH M.D
1750 E LAKE SHORE DR
DECATUR, IL 62521-3803
Phone number: 217-464-1200
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Mailing Address
Dr. NIKESH LATH M.D
1750 E LAKE SHORE DR
DECATUR, IL 62521-3803
Phone number: 217-464-1200
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