Lathrop, Tara D

Lathrop, Tara D is an individual health care provider with primary practice located at 230 E. Marydale Ave Suite 1, Soldotna AK 99669-2949. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lathrop, Tara D can be contacted via phone (907) 262-3119.

Contact Information

Primary practice address
230 E. Marydale Ave Suite 1 Soldotna AK 99669-2949
Fax: (907) 260-7320
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60157114 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3076 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6010 Alaska

Profile Details

NPI number 1578660528
LBN Legal business name Lathrop, Tara D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578660528 NPPES
Alaska MEDICAID RH177FQ
Alaska MEDICAID MD2357

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