Dr LATICIA RAE HOLLINGSWORTH is a female medical professional, specializing in Physician Assistant. She graduated in 2002.
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
2115 STUART AVE
ALAMOSA
CO
811012269
Tel: 7195893000
| Npi | 1336142934 |
| Pac Id | 0345435715 |
| Professional Enrollment Id | I20101110001362 |
| Last Name | HOLLINGSWORTH |
| First Name | LATICIA |
| Middle Name | RAE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Group Practice Pac Id | 4789589094 |
| Number Of Group Practice Members | 72 |
| Line 1 Street Address | 2115 STUART AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ALAMOSA |
| State | CO |
| Zip Code | 811012269 |
| Phone Number | 7195893000 |
| Hospital Affiliation Ccn 1 | 060008 |
| Hospital Affiliation Lbn 1 | SAN LUIS VALLEY HEALTH |
| Hospital Affiliation Ccn 2 | 061301 |
| Hospital Affiliation Lbn 2 | RIO GRANDE HOSPITAL |
| Hospital Affiliation Ccn 3 | 061308 |
| Hospital Affiliation Lbn 3 | SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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