Most Relevant Information
Provider Data
| NPI Number: | 1003436296 |
| Provider Name: | IAN G LATHAM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207QA0401X |
| Specialty: | Family Medicine |
| License Number: | 69943 |
Most Important Dates
| Enumeration Date: | 04/17/2020 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
1836 SOUTH AVE
LA CROSSE
WI
546015429
Practice Location Phone/Fax
| Phone: | 6087827300 |
| Fax: |
Provider Mailing Location
1836 SOUTH AVE
LA CROSSE
WI
546015429
Provider Mailing Phone/Fax
| Phone: | 6087827300 |
| Fax: |