Dr. Carol M Latzanich
Primary Podiatric Medicine
175 E Brown St Suite 110
East Stroudsburg
, Pennsylvania 18301-3098
Dr. Carol M Latzanich
Primary Podiatric Medicine
175 E Brown St Suite 110
East Stroudsburg
, Pennsylvania 18301-3098
(570) 424-5086
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Carol M Latzanich
- 175 E Brown St Suite 110
- East Stroudsburg, PA
- Zip : 18301-3098
- Fax : (570) 424-5086
- Phone : (570) 424-1031
Second Address
- Dr. Carol M Latzanich
- 175 E Brown St Suite 110
- East Stroudsburg, PA
- Zip : 18301-3098
- Fax : (570) 424-5086
- Phone : (570) 424-1031
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | SC003741-L | PA |
National Provider Identifier
| NPI | 1598778029 |
|---|---|
| Provider Name | Dr. Carol M Latzanich |
| First Address | East Stroudsburg, PA 18301-3098 |
| Second Address | East Stroudsburg, PA 18301-3098 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2006 |
| Last Update Date | 01/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U34106 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.