MEDICARE: CHRISTINE ALBERTA LATHAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	RN176234	OH

General Provider Information

NPI Number	:	1336913490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ALBERTA LATHAN

Provider Business Mailing Address
First Line	:	9310 MEADOWGLEN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-3603
Country	:	US
Telephone Number	:	513-807-2905
Fax Number	:

Provider Business Practice Location Address
First Line	:	9310 MEADOWGLEN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-3603
Country	:	US
Telephone Number	:	513-807-2905
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	11/09/2023

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Directions to “ CHRISTINE ALBERTA LATHAN ” Practice Location

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