Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EVAN THOMAS LATOURRETTE, DPM
Active Sole ProprietorMR. EVAN THOMAS LATOURRETTE, DPM is a Radiology Podiatrist healthcare provider located in RONKONKOMA, New York. NPI 1396266516 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · RONKONKOMA, NY
Registration Details
- NPI Number
- 1396266516
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2017 (9.1707754228146 yrs)
- Last Updated
- Jul 15, 2022
- Licenses
-
N007080-1 (NY)N007080 (NY)N007080-1 (NY)N007080-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
382 ROSEVALE AVERONKONKOMA, NY, 117793069Browse NY providers · Browse ZIP 11779
- Phone
- 6316670388
- Fax
- 6319687705
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.