Provider Demographics
NPI:1790360063
Name:STOTT, LATONYA (RMA)
Entity Type:Individual
Prefix:
First Name:LATONYA
Middle Name:
Last Name:STOTT
Suffix:
Gender:F
Credentials:RMA
Other - Prefix:
Other - First Name:LATONYA
Other - Middle Name:SUZANNE
Other - Last Name:STOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LATONYA STOTT, RMA
Mailing Address - Street 1:468 GARLAND ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77705-5346
Mailing Address - Country:US
Mailing Address - Phone:409-403-0577
Mailing Address - Fax:
Practice Address - Street 1:468 GARLAND ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705-5346
Practice Address - Country:US
Practice Address - Phone:409-403-0577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy