NPI 1083395891

Davida Lashae Lattimore

Practitioner Driver Dayton, OH

Practice location

Address: 724 Kenilworth Ave, Dayton, OH 45405-4044
Phone: (937) 838-6681
Mailing address: 2130 W 3rd St, Dayton, OH 45417-2542

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence SQ270187 (OH)

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Registry record

NPI: 1083395891
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2023
Record last updated: 26 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.