Larry G Lamasters PA-C

NPI 1063440279 - Physician Assistant - 363A00000X

NPI Details
NPI 1063440279
Gender Male
Enumeration Date 06/28/2006
Last Updated 07/16/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
105 S WALNUT ST
FAIRBANK IA, 50629-8531, US
Phone (319) 635-2110
Fax (319) 635-2509
Business Location
2101 KIMBALL AVE
LL14
WATERLOO IA, 50702-5063, US
Phone (319) 272-1590
Fax (319) 272-1535
Toxanomy
Taxonomy Code 363A00000X
License State Iowa
License Number 667
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According to our database, Larry G Lamasters PA-C NPI is 1063440279, taxonomy code is 363A00000X and license number is 667, license state is located at Iowa. Larry G Lamasters PA-C physically located at 105 S Walnut St, Fairbank IA, 50629-8531. NPI Number Larry G Lamasters PA-C has the Individual type.

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1063440279 NPI number is provided on an as is basis without warranty of any kind. 1063440279 is maintained by the National Plan & Provider Enumeration System. The contents of Larry G Lamasters PA-C are for informational purposes only.