Julie M Lata DO PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

15101016802 Issued in MI

Legal business name

JULIE M LATA DO PC

Practice address

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone

(586) 493-8101

NPI assigned

Jun 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie M Lata, DO

Title

Owner

Phone

(586) 323-3022

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1265743793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12175 NOONAN CT",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483155871",
            "telephone_number": "586-323-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "586-493-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE M LATA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "LATA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-323-3022",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "15101016802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim M Jones, CRNA
• Megan Christine Jones
• James Michael Jordan, D.O.
• Sneska Josifoski
• Kristina M Juhl
• Deandra Jutila-Waldron
• Alaa Yahya Kareem, DPM
• Kristen Elaine Kargol, MD
• Mitchell Christopher Katkic
• Gurdeep Kaur, M.D.

• Emergency Medicine Physician in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.