Colburn, Latisha Carol
Colburn, Latisha Carol is an sole proprietor health care provider with primary practice located at 1639 Ramblewood Dr , Lewisburg TN 37091-4032. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Holistic, Nursing Service Providers / General Practice. Nursing Service Providers / General Practice is her primary health care specialty. Colburn, Latisha Carol can be contacted via phone (574) 780-3560.Contact Information
Primary practice address
1639 Ramblewood Dr
Lewisburg TN 37091-4032
Phone: (574) 780-3560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Holistic | 364SH1100X | 0000267223 | Tennessee |
| Nursing Service Providers / General Practice | 163WG0000X | 0000267223 | Tennessee |
Profile Details
| NPI number | 1316872286 |
|---|---|
| LBN Legal business name | Colburn, Latisha Carol |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2026 |
| Last updated | Jun 15th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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