Provider Demographics
NPI:1205610383
Name:LATOFF, JULIA ANN (RD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:LATOFF
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 19TH AVE S APT 1210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5660
Mailing Address - Country:US
Mailing Address - Phone:610-955-3953
Mailing Address - Fax:
Practice Address - Street 1:210 25TH AVE N STE 1010
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1651
Practice Address - Country:US
Practice Address - Phone:615-212-5526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered