Individual provider · Type 1 NPI
Madelyn Lattyak, PA-C
Medical Physician Assistant · Tullahoma, TN
NPI number
1346150919
Active
Practice location
1801 N Jackson St Ste 100A
Tullahoma, TN 37388-8259
Mailing address
121 Burlcrest Ct
Meridianville, AL 35759-1669
Other practice locations
- 1330 Cedar Ln Ste 300, Tullahoma, TN 37388-3275 · (931) 563-5070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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- Aubrey Martin Cawthon Jr., PACMedical Physician Assistant Tullahoma, TN NPI 1407824295
- Michael Frederick Johnson, P.A.-CMedical Physician Assistant Tullahoma, TN NPI 1679738272
- Lori Russell, P.A.Medical Physician Assistant Tullahoma, TN NPI 1891798377
About NPI 1346150919
Madelyn Lattyak, PA-C's National Provider Identifier is 1346150919, issued on Sep 8, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tullahoma, TN. The record was last updated on Sep 8, 2026.