Search › Missouri › 106S00000X
Lathan Wise
NPI 1578150736 · on the registry since 2020
Practice
- Address
- 3400 State St Site G750
Salem, MO 65560 - Phone
- (000) 000-0000
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri