MR. Jacob Lynn Latcham, ABOC
NPI #1821789587 in Chippewa Falls, Wisconsin
Provider Information
- NPI Number
- 1821789587
- Entity Type
- Individual
- Name
- MR. Jacob Lynn Latcham, ABOC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- ABOC
- Enumeration Date
- May 15, 2023
- Last Updated
- May 15, 2023
Practice Location
- Address
- 2786 COMMERCIAL BLVD
- City
- Chippewa Falls
- State
- Wisconsin
- ZIP Code
- 54729-5031
- Phone
- (715) 738-2427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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