LISELLE LATHROUM

SAN JUAN, PR
NPI1548512460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy282NC2000X General Acute Care Hospital, Children
(Licence: PR  030165-R)
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
-- LISELLE LATHROUM M.D.
230 CALLE VIENA COLLEGE PARK
SAN JUAN, PR 00921-4804
Phone number: 787-413-0779
Mailing Address
-- LISELLE LATHROUM M.D.
230 CALLE VIENA COLLEGE PARK
SAN JUAN, PR 00921-4804
Phone number: 787-413-0779