Provider Demographics
NPI:1932417102
Name:LATTA, LAUREN STEINER (DPT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:STEINER
Last Name:LATTA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:RUTH
Other - Last Name:STEINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2221 PEACHTREE RD NE # D336
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1148
Mailing Address - Country:US
Mailing Address - Phone:404-351-5307
Mailing Address - Fax:
Practice Address - Street 1:1823 N BROWN RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-8121
Practice Address - Country:US
Practice Address - Phone:404-351-5307
Practice Address - Fax:404-351-5308
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5928225100000X
GAPT016819225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist