Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany L Lattimore, PA

Individual provider Physician Assistant · NPI 1699104315

Tiffany L Lattimore, PA is a Physician Assistant in Stanwood, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

8354 100th Ave
Stanwood, MI 49346-8344
Phone: (231) 972-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006795 (MI)

Record details

NPI number1699104315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 4, 2013
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

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