Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IAN G LATHAM, MD
ActiveDR. IAN G LATHAM, MD is a Addiction Medicine (Family Practice) healthcare provider located in LA CROSSE, Wisconsin. NPI 1003436296 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · LA CROSSE, WI
Registration Details
- NPI Number
- 1003436296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2020 (6.3580711305608 yrs)
- Last Updated
- Mar 18, 2025
- Licenses
-
83825 (WI)69943 (MN)83825 (WI)
Practice Information
- Address
-
1836 SOUTH AVELA CROSSE, WI, 546015429Browse WI providers · Browse ZIP 54601
- Phone
- 6087827300
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.