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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISELLE LATHROUM, M.D.

Active Sole Proprietor

LISELLE LATHROUM, M.D. is a Children's Hospital healthcare provider located in SAN JUAN, Puerto Rico. NPI 1548512460 is currently active in the NPPES registry. Verify at CMS.

Children's Hospital · SAN JUAN, PR

Registration Details

NPI Number
1548512460
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2012 (13.878988950538 yrs)
Last Updated
Oct 3, 2012
License
030165-R (PR)
Sole Proprietor
Yes

Practice Information

Address
230 CALLE VIENA
COLLEGE PARK
SAN JUAN, PR, 009214804
Browse PR providers · Browse ZIP 00921
Phone
7874130779
Primary Specialty
Children's Hospital
282NC2000X
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.