Dara Lee Latner (NPI# 1912564022, PAC ID# 2567795776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1912564022 |
| PAC ID by PECOS | 2567795776 |
| Professional Enrollment ID | I20190709002900 |
| Full Name | Dara Lee Latner |
| Organization Legal Name | ELWOOD M YOUNG OD PC |
| Address |
406 1st St Glenwood IA 51534-1706 |
| Phone Number | 7125274468 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0648344192 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 406 1st St, Glenwood, IA 51534-1706 | 7125274468 | ELWOOD M YOUNG OD PC |
| Organization Legal Name | ELWOOD M YOUNG OD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacque D Young | Optometry | Elwood M Young Od PC | 406 1st St, Glenwood, IA 51534-1706 |
| Street Address |
406 1ST ST |
| City | GLENWOOD |
| State | IA |
| Zip | 51534-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacque D Young | Optometry | Elwood M Young Od PC | 406 1st St, Glenwood, IA 51534-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett A Phillips | Clinical Social Worker | 108 S Locust St, Suite B, Glenwood, IA 51534-1726 | |
| Mike V Kenkel | Chiropractic | 407 Sharp St, Glenwood, IA 51534-1729 | |
| Tracy A Stromgren | Chiropractic | 24 N Walnut, Glenwood, IA 51534-1739 | |
| Robert K Fryzek | Family Practice | 14 N Walnut St, Glenwood, IA 51534-1739 | |
| Maureen A Boyle-manganaro | Obstetrics/gynecology | Physicians Clinic Inc | 320 Ebaugh St, Methodist Physicians Clinic Glenwood, Glenwood, IA 51534-1811 |
| Russel A Moulton | Clinical Psychologist | 55684 230th St, Glenwood, IA 51534-6192 |
| City | GLENWOOD |
| Zip Code | 51534 |
| Specialty | OPTOMETRY |
| City + Specialty | GLENWOOD + OPTOMETRY |
Please comment or provide details below to improve the information on Dara Lee Latner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.