Most Relevant Information
Provider Data
| NPI Number: | 1003560178 |
| Provider Name: | REBECCA JEAN LATTY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/08/2022 |
| Last Updated: | 02/08/2022 |
Provider Practice Location
3100 MEDICAL PKWY
CLAREMORE
OK
740171088
Practice Location Phone/Fax
| Phone: | 9183420770 |
| Fax: |
Provider Mailing Location
3100 MEDICAL PKWY
CLAREMORE
OK
740171088
Provider Mailing Phone/Fax
| Phone: | 9183420770 |
| Fax: |