Md2u Iah LLC

NPI #1225430812 in Louisville, Kentucky

Provider Information

NPI Number
1225430812
Entity Type
Organization
Organization Name
Md2u Iah LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MD2U MANAGEMENT LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 25, 2014
Last Updated
Sep 25, 2014

Practice Location

Address
140 WHITTINGTON PKWY STE 100
ZIP Code
40222-4930
Phone
(502) 327-9100

Authorized Official

Name
GREGORY DAVID LATTA
Title
CIO/MEMBER
Phone
(502) 416-1851

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Nurse Practitioner

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