Lattanzi, Stephen C.

Lattanzi, Stephen C. is an individual health care provider with primary practice located at 628 Hospital Dr Ground Floor, Suite A, Mountain Home AR 72653-2953. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Lattanzi, Stephen C. can be contacted via phone (870) 425-4402.

Contact Information

Primary practice address
628 Hospital Dr Ground Floor, Suite A Mountain Home AR 72653-2953
Phone: (870) 425-4402
Fax: (860) 437-2236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 035831 Connecticut
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X E-9749 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 035831 Connecticut
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 035831 Connecticut

Profile Details

NPI number 1801894555
LBN Legal business name Lattanzi, Stephen C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 15th, 2016 - about 8 years ago

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 1801894555 NPPES
Connecticut MEDICAID 001358317

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