NPI | 1982258422 |
---|---|
Doing Business As | LATUS MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | PEGGY DAVIS SMERING Practice Administrator 716-304-4683 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-08-01 |
Last Update Date | 2021-05-05 |