Provider Demographics
NPI:1316196660
Name:WRIGHT MORRISON, LATOYA LASALLE
Entity Type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:LASALLE
Last Name:WRIGHT MORRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 LOCUST PASS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472
Mailing Address - Country:US
Mailing Address - Phone:352-687-1282
Mailing Address - Fax:352-680-1305
Practice Address - Street 1:208 LOCUST PASS CIRCLE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472
Practice Address - Country:US
Practice Address - Phone:352-687-1282
Practice Address - Fax:352-680-1305
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL693498696172V00000X
FL230649376J00000X
FLCNA18424376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide