Healthcare Provider Details

I. General information

NPI: 1861325789
Provider Name (Legal Business Name): CARMELLA LATCHFORD HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 HARRISBURG PIKE STE 2
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2112 HARRISBURG PIKE STE 2
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-0327
  • Fax:
Mailing address:
  • Phone: 715-440-0327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF03733
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: