Lydia Latour, Md., Pllc | |
1135 Ocean Springs Rd Ocean Springs MS 39564-3421 | |
(228) 875-6695 | |
Not Available |
Full Name | Lydia Latour, Md., Pllc |
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Speciality | Internal Medicine |
Location | 1135 Ocean Springs Rd, Ocean Springs, Mississippi |
Authorized Official Name and Position | Lydia Latour (OWNER) |
Authorized Official Contact | 2288756695 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lydia Latour, Md., Pllc 1135 Ocean Springs Rd Ocean Springs MS 39564-3421 Ph: (228) 875-6695 | Lydia Latour, Md., Pllc 1135 Ocean Springs Rd Ocean Springs MS 39564-3421 Ph: (228) 875-6695 |
NPI Number | 1972050367 |
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Provider Enumeration Date | 09/02/2016 |
Last Update Date | 09/02/2016 |
Medicare PECOS PAC ID | 9032406269 |
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Medicare Enrollment ID | O20161003000234 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972050367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15180 (Mississippi) | Primary |
Provider Name | Lydia F Latour |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508838681 PECOS PAC ID: 7012013477 Enrollment ID: I20070501000257 |
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