Provider Demographics
NPI:1740395821
Name:LATTIMORE, KERI ANNE (MD)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:ANNE
Last Name:LATTIMORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1930 ALCOA HWY
Mailing Address - Street 2:SUITE 145
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1500
Mailing Address - Country:US
Mailing Address - Phone:865-582-3111
Mailing Address - Fax:865-305-5857
Practice Address - Street 1:1930 ALCOA HWY
Practice Address - Street 2:SUITE 145
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1500
Practice Address - Country:US
Practice Address - Phone:865-582-3111
Practice Address - Fax:865-305-5857
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2014-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD423692080N0001X
MI43010764302080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine