Most Relevant Information
Provider Data
| NPI Number: | 1003452608 |
| Provider Name: | CHRISTIE LATHROP |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/19/2019 |
| Last Updated: | 11/19/2019 |
Provider Practice Location
7151 E US HIGHWAY 60 UNIT 216
GOLD CANYON
AZ
851189769
Practice Location Phone/Fax
| Phone: | 7025338417 |
| Fax: |
Provider Mailing Location
7151 E US HIGHWAY 60 UNIT 216
GOLD CANYON
AZ
851189769
Provider Mailing Phone/Fax
| Phone: | 7025338417 |
| Fax: |