Individual
MR. JACOB LYNN LATCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
2786 COMMERCIAL BLVD, CHIPPEWA FALLS, WI 54729-5031
(715) 738-2427
Mailing address
2786 COMMERCIAL BLVD, CHIPPEWA FALLS, WI 54729-5031
(715) 738-2427
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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