Individual
DR. JENNIFER HOLMES LATTERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1201 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
(319) 730-7300
(319) 739-7368
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7393
(319) 369-8351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18509
MN
207Q00000X
Family Medicine Physician
Primary
4510
IA
207Q00000X
Family Medicine Physician
49315
MN
Other
Enumeration date
03/28/2007
Last updated
10/29/2013
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