Provider Demographics
NPI:1427086321
Name:LATTERI, ALEXANDER THOMAS (MD)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:THOMAS
Last Name:LATTERI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3939 ATLANTIC AVENUE
Mailing Address - Street 2:SUITE #204
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3535
Mailing Address - Country:US
Mailing Address - Phone:562-424-0423
Mailing Address - Fax:562-424-6719
Practice Address - Street 1:3939 ATLANTIC AVENUE
Practice Address - Street 2:SUITE #204
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3535
Practice Address - Country:US
Practice Address - Phone:562-424-0423
Practice Address - Fax:562-424-6719
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC38154207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery