Individual provider · Type 1 NPI

Viva A. Lattimore, PA-C

Medical Physician Assistant · Harrisburg, PA

NPI number 1720039183 Active

Practice location

205 South Front Street, 4th Floor, Bma
Harrisburg, PA 17104-1619

Fax (717) 231-8568

Other practice locations

  • 500 University Dr, Hershey, PA 17033-2360 · (717) 531-8407

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA003300L (PA)
Physician Assistant 363A00000XMA00300L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1720039183

Viva A. Lattimore, PA-C's National Provider Identifier is 1720039183, issued on May 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Harrisburg, PA. The record was last updated on Nov 6, 2023.