| Tiara Latz, DC | |
|
18924 Lake Dr E, Chanhassen, MN 55317-9348 | |
| (952) 474-1949 | |
| Not Available |
| Full Name | Tiara Latz |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 4 Years |
| Location | 18924 Lake Dr E, Chanhassen, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891453353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6917 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clear Connection Chiropractic Llc | 5890840953 | 4 |
| Provider Name | Clear Connection Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114155868 PECOS PAC ID: 5890840953 Enrollment ID: O20090826000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiara Latz, DC 18924 Lake Dr E, Chanhassen, MN 55317-9348 Ph: (952) 474-1949 | Tiara Latz, DC 18924 Lake Dr E, Chanhassen, MN 55317-9348 Ph: (952) 474-1949 |
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