Individual provider · Type 1 NPI

Alexander Joseph Lattimore

Student in an Organized Health Care Education/Training Program · Kenosha, WI

NPI number 1821996984 Active

Practice location

2001 Alford Park Dr
Kenosha, WI 53140-1994

Call (262) 551-8500 Map

Mailing address

21 Country Lakes Ln
Waterloo, IL 62298-2901

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821996984

Alexander Joseph Lattimore's National Provider Identifier is 1821996984, issued on Oct 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 28, 2026.