Provider Demographics
NPI:1174745640
Name:LATT, LEONARD DANIEL (MD PHD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:DANIEL
Last Name:LATT
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:1501 N CAMBELL AVE
Mailing Address - Street 2:PO BOX 245064
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5064
Mailing Address - Country:US
Mailing Address - Phone:520-626-4024
Mailing Address - Fax:520-626-2668
Practice Address - Street 1:707 N ALVERNON WAY
Practice Address - Street 2:ORTHOPAEDIC SURGERY - SUITE 205
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1827
Practice Address - Country:US
Practice Address - Phone:520-694-8000
Practice Address - Fax:520-694-8005
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2014-05-19
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Provider Licenses
StateLicense IDTaxonomies
CAA99828207X00000X
NC2008-00292207X00000X
AZ42502207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery