| Lydia Latour, MD., PLLC | |
|
1135 Ocean Springs Rd Ocean Springs MS 39564-3421 | |
| (228) 875-6695 | |
| Not Available |
| Full Name | Lydia Latour, MD., PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1135 Ocean Springs Rd, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Lydia Latour (OWNER) |
| Authorized Official Contact | 2288756695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Latour, MD., PLLC 1135 Ocean Springs Rd Ocean Springs MS 39564-3421 Ph: (228) 875-6695 | Lydia Latour, MD., PLLC 1135 Ocean Springs Rd Ocean Springs MS 39564-3421 Ph: (228) 875-6695 |
| NPI Number | 1972050367 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/02/2016 |
| Medicare PECOS PAC ID | 9032406269 |
|---|---|
| Medicare Enrollment ID | O20161003000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972050367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15180 (Mississippi) | Primary |
| Provider Name | Lydia F Latour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508838681 PECOS PAC ID: 7012013477 Enrollment ID: I20070501000257 |
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