DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY ERIN LATTANZE, PA-C

Active

STACEY ERIN LATTANZE, PA-C is a Medical Physician Assistant healthcare provider located in LEBANON, Pennsylvania. NPI 1629116728 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LEBANON, PA

Registration Details

NPI Number
1629116728
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2007 (19.523304091006 yrs)
Last Updated
Feb 21, 2025
Licenses
MA002230-L (PA)
OA003364 (PA)

Practice Information

Address
1701 CORNWALL ROAD
SUITE 201
LEBANON, PA, 170427480
Browse PA providers · Browse ZIP 17042
Phone
7176751780
Fax
7176751776
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Surgical Physician Assistant

Other Medical Physician Assistant Providers in LEBANON, PA

Name Credential NPI
PATRICIA C. HARDING PA-C 1912984998
JOHN E. FLESHER PA-C 1710964853
SHANNON M. WINSETT PA-C 1336126465
MR. RICKY LYNN HOFFMAN PA-C 1316906712
MS. ELIZABETH A. MILLER PA-C 1891755575
JANELLE L GREGORY PA-C 1497717961
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.