Provider Demographics
NPI:1053527572
Name:LATHROP ENTERPRISES INC
Entity type:Organization
Organization Name:LATHROP ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:LATHROP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-352-2488
Mailing Address - Street 1:1728 STATE AVE NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4500
Mailing Address - Country:US
Mailing Address - Phone:360-352-2488
Mailing Address - Fax:360-943-5156
Practice Address - Street 1:1728 STATE AVE NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4500
Practice Address - Country:US
Practice Address - Phone:360-352-2488
Practice Address - Fax:360-943-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1558435792Medicare ID - Type Unspecified