Basic Information
| Provider Information | |||||||||
| NPI: | 1174745640 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LATT | ||||||||
| FirstName: | LEONARD | ||||||||
| MiddleName: | DANIEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1501 N CAMBELL AVE | ||||||||
| Address2: | PO BOX 245064 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857245064 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206264024 | ||||||||
| FaxNumber: | 5206262668 | ||||||||
| Practice Location | |||||||||
| Address1: | 707 N ALVERNON WAY | ||||||||
| Address2: | ORTHOPAEDIC SURGERY - SUITE 205 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857111827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206948000 | ||||||||
| FaxNumber: | 5206948005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2007 | ||||||||
| LastUpdateDate: | 05/19/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | A99828 | CA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 2008-00292 | NC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 42502 | AZ | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.