Peter Howland Lathrop | San Diego, CA • PECOS Search

Peter Howland Lathrop

Specialist

Other Service Providers

3675 Ruffin Road Suite 120, San Diego, CA 92123

PECOS Enrollment

Based on the most recent information from CMS, provider Peter Howland Lathrop does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1952683716
Provider Type
Individual
Full Name
Lathrop, Peter Howland
Title
Dr.
Credential
PH.D

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/16/2011
Last Updated
9/16/2011

Contact Information

Practice Location

3675 Ruffin Road Suite 120, San Diego, CA 92123

(858) 569-4546

Mailing Location

3675 Ruffin Road Suite 120, San Diego, CA 92123

(858) 569-4546

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer