Individual provider · Type 1 NPI

Stacey Erin Lattanze, PA-C

Medical Physician Assistant · Lebanon, PA

NPI number 1629116728 Active

Practice location

1701 Cornwall Road, Suite 201
Lebanon, PA 17042-7480

Call (717) 675-1780 Map

Fax (717) 675-1776

Mailing address

1701 Cornwall Rd, Ste 201
Lebanon, PA 17042-7480

Other practice locations

  • 14 Philadelphia Ave, Shillington, PA 19607-2757 · (610) 777-7781
  • 2496 Stiegel Pike, Schaefferstown, PA 17088-7021 · (717) 949-2777
  • 1010 W Crestview Dr, Lebanon, PA 17042-7415 · (717) 272-7469

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA002230-L (PA)
Surgical Physician Assistant 363AS0400XOA003364 (PA)

Medical Physician Assistant: Definition to come...

4 other providers at this address

Other medical physician assistant providers in Lebanon

See all in Lebanon →

About NPI 1629116728

Stacey Erin Lattanze, PA-C's National Provider Identifier is 1629116728, issued on Feb 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lebanon, PA. The record was last updated on Feb 21, 2025.