Provider Demographics
NPI:1851601090
Name:LATUGA, NATALIE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:MARIE
Last Name:LATUGA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:MARIE
Other - Last Name:TRAVAGLIATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4675 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-1231
Mailing Address - Country:US
Mailing Address - Phone:716-280-0657
Mailing Address - Fax:
Practice Address - Street 1:4675 SUNSET DR
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-1231
Practice Address - Country:US
Practice Address - Phone:716-280-0657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI054745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist