Individual
DR. IAN G LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
83825
WI
207QA0401X
Addiction Medicine (Family Medicine) Physician
69943
MN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
83825
WI
Other
Enumeration date
04/17/2020
Last updated
03/18/2025
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