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NPI Code Detail

MEDICARE: GILLIAN LATTANZI

MEDICARE: GILLIAN LATTANZI
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
1367500000XCertified Registered Nurse AnesthetistRN672196PA
2163W00000XRegistered NurseRN672196PA

General Provider Information

NPI Number : 1770175457
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILLIAN LATTANZI
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 252 S 4TH ST
Second Line :
City : LEBANON
State : PA
Zip : 17042-6111
Country : US
Telephone Number : 717-270-7500
Fax Number : 717-228-1642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2021
Last Update Date : 03/26/2026

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Directions to “ GILLIAN LATTANZI ” Practice Location

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