# CEDAR RAPIDS MEDICAL EDUCATION FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851564157
- **Authorized official:** JENNIFER C. HOLMES LATTERELL D.O. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (319) 297-2300

## Contact information

- **Practice address:** 1260 SECOND AVENUE S.E., CEDAR RAPIDS, IA 52403
- **Practice address phone:** (319) 297-2300
- **Practice address fax:** (319) 297-2280
- **Mailing address:** 1260 SECOND AVENUE S.E., CEDAR RAPIDS, IA 52403
- **Mailing address phone:** (319) 297-2300
- **Mailing address fax:** (319) 297-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22013 | IA | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 05/18/2015
