Suzie Lee Latour, DDS, MS, MA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

41146 Issued in TX

Practice address

1821 S Valley Mills Dr Ste 195
Waco, TX 76711-2123

Phone

(254) 870-1440

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Suzie Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lubczuk Professional Dental Corporation

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1205051000
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1447912860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 RANGER SUMMIT RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026744",
            "telephone_number": "423-834-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S VALLEY MILLS DR STE 195",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767112123",
            "telephone_number": "254-870-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATOUR",
        "first_name": "SUZIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "41146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZIE",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "DDS, MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Lassetter, D.D.S
• Michael Anne Lassig
• Lasting Health and Wellness
• Cari Micheal Latimer
• Chad J Latino, D.D.S
• Emily Lattimore
• Erin Anne Laurel
• Lauren Sams Nutrition and Lactation
• Emily Laurie
• Michelle Marie Law, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Waco, TX
• Providers in Waco, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.