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MR. ZACHARY LATTA

Eye and Vision Services Providers Technician/Technologist

Provider NPI: 1861988271

Provider Information:
MR. ZACHARY  LATTA 
Gender: M
Not Sole Proprietor

Practice Location:
1015 LANTON RD  WEST PLAINS, MO 65775-3854 US
Tel: 417-256-2570  Fax: --

Business Mailing Address:
1015 LANTON RD  WEST PLAINS, MO 65775-3854 US
Tel: 417-256-2570  Fax: --

NPI Information:
NPI: 1861988271
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156F00000XEye and Vision Services Providers
Technician/Technologist

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 156F00000X

Type:

Classification:



Definition:



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