Provider Demographics
NPI:1356230619
Name:DR LATTER FOOT CARE LLC
Entity type:Organization
Organization Name:DR LATTER FOOT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LATTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:406-405-9835
Mailing Address - Street 1:PO BOX 1423
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-1423
Mailing Address - Country:US
Mailing Address - Phone:406-405-9835
Mailing Address - Fax:
Practice Address - Street 1:133 KATE LANE
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923
Practice Address - Country:US
Practice Address - Phone:406-405-9835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty