Mendoza Lattes, Sergio A

Mendoza Lattes, Sergio A is an individual health care provider with primary practice located at 40 Duke Medicine Cir Clinic 1B/1C, Durham NC 27710-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mendoza Lattes, Sergio A can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
40 Duke Medicine Cir Clinic 1B/1C Durham NC 27710-4000
Phone: (919) 684-8111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X SP135 Iowa

Profile Details

NPI number 1255324372
LBN Legal business name Mendoza Lattes, Sergio A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jan 15th, 2015 - about 9 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 1255324372 NPPES
Iowa Other 41986 WELLMARK BCBS
Iowa MEDICAID 0245662 WELLMARK BCBS

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