MEDICARE: CARMELLA LATCHFORD HIS

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	237700000X	Hearing Instrument Specialist	F03733	PA

General Provider Information

NPI Number	:	1861325789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELLA LATCHFORD HIS

Provider Business Mailing Address
First Line	:	2112 HARRISBURG PIKE STE 2
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	715-440-0327
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 HARRISBURG PIKE STE 2
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-0327
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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