IndividualActive
Alicia Latta, DO
NPI 1336734482 · Internal Medicine Physician · Wpafb, OH
Provider details
- NPI number
- 1336734482
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- O-1754 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone: (937) 208-2004
Approximate (ZIP-level) locationGet directions
Mailing address
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.