DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SEAN DAVID LATTIMORE, D.O.

Active

Family Medicine · COLUMBIA, IL

Registration Details

NPI Number
1710058961
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2006 (19.493916828843 yrs)
Last Updated
Oct 23, 2020
License
036102258 (IL)

Practice Information

Address
1000 ELEVEN S STE 4A
COLUMBIA, IL, 622361077
Browse IL providers · Browse ZIP 62236
Phone
6182066120
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in COLUMBIA, IL

Name Credential NPI
DR. ANIL GUPTA MD 1912961558
MICHAEL NELS KIRK M.D. 1922179175
KELLY ANN WOOD M.D. 1619193869
CARRIE A DAIGLE MD 1477758571
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.