Provider Demographics
NPI:1467327767
Name:LATTIMER, CADE J (RD)
Entity type:Individual
Prefix:
First Name:CADE
Middle Name:J
Last Name:LATTIMER
Suffix:
Gender:M
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:W195N17212 ENGLISH OAKS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WI
Mailing Address - Zip Code:53037-9128
Mailing Address - Country:US
Mailing Address - Phone:573-837-9491
Mailing Address - Fax:
Practice Address - Street 1:W195N17212 ENGLISH OAKS DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WI
Practice Address - Zip Code:53037-9128
Practice Address - Country:US
Practice Address - Phone:573-837-9491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered