Tiffany L Lattimore, PA

NPI #1699104315 in Stanwood, Michigan

Provider Information

NPI Number: 1699104315
Entity Type: Individual
Name: Tiffany L Lattimore, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 4, 2013
Last Updated: Jun 15, 2023

Practice Location

Address: 8354 100TH AVE
City: Stanwood
State: Michigan
ZIP Code: 49346-8344
Phone: (231) 972-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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