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1548512460
LISELLE LATHROUM
SAN JUAN, PR
NPI
1548512460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282NC2000X General Acute Care Hospital, Children
(Licence: PR 030165-R)
Enumeration Date
2012-10-03
Last Update Date
2012-10-03
Business Address
-- LISELLE LATHROUM M.D.
230 CALLE VIENA COLLEGE PARK
SAN JUAN, PR 00921-4804
Phone number: 787-413-0779
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Mailing Address
-- LISELLE LATHROUM M.D.
230 CALLE VIENA COLLEGE PARK
SAN JUAN, PR 00921-4804
Phone number: 787-413-0779
Copy
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