| Doctor Name: | CLARE LATTIMORE |
| NPI Number: | 1558347989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 10879-0225-02 |
| Business Practice Address: | Mile 187 Glenn Hwy Glennallen, AK - 995880589 |
| Business Phone Number: | 9078223203 |
| Business Fax Number: | 9078225805 |
| Mailing Address: | Po Box 5, GLENNALLEN |
| State: | AK |
| Postal Code: | 995880589 |
| Phone Number: | 9078223203 |
| Fax Number: | 9078225805 |
| NPI Enumeration Date: | 12/18/2005 |
| NPI Last Update Date: | 08/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 10879-0225-02 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |