MEDICARE: KELLY E LATO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	85778	WI

General Provider Information

NPI Number	:	1326620675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY E LATO MD

Provider Business Mailing Address
First Line	:	1836 SOUTH AVE
Second Line	:
City	:	LA CROSSE
State	:	WI
Zip	:	54601-5429
Country	:	US
Telephone Number	:	608-782-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 GUNDERSEN DR
Second Line	:
City	:	ONALASKA
State	:	WI
Zip	:	54650-8405
Country	:	US
Telephone Number	:	608-775-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	08/26/2025

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Directions to “ KELLY E LATO MD” Practice Location

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