Provider Demographics
NPI:1104714641
Name:LATCH, LLC
Entity type:Organization
Organization Name:LATCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, IBCLC
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:CORBIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:515-745-4485
Mailing Address - Street 1:318 BARTON ST
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:IA
Mailing Address - Zip Code:50070-1001
Mailing Address - Country:US
Mailing Address - Phone:515-745-4485
Mailing Address - Fax:
Practice Address - Street 1:3935 NW URBANDALE DR STE B
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-7930
Practice Address - Country:US
Practice Address - Phone:515-745-4485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LATCH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty