Lisa A Shepherd M.D.

NPI 1063499184 - Family Medicine - 207Q00000X

NPI Details
NPI 1063499184
Gender Female
Enumeration Date 12/29/2005
Last Updated 06/26/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2015 W 5TH ST
STORM LAKE IA, 50588-3000, US
Phone (712) 732-5030
Fax
Business Location
24 N 9TH ST
FORT DODGE IA, 50501-3905, US
Phone (515) 574-6890
Fax (515) 574-6458
Toxanomy
Taxonomy Code 207Q00000X
License State Iowa
License Number 35941
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According to our database, Dr. Lisa A Shepherd M.D. NPI is 1063499184, taxonomy code is 207Q00000X and license number is 35941, license state is located at Iowa. Lisa A Shepherd M.D. physically located at 2015 W 5th St, Storm Lake IA, 50588-3000. NPI Number Lisa A Shepherd M.D. has the Individual type.

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1063499184 NPI number is provided on an as is basis without warranty of any kind. 1063499184 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A Shepherd M.D. are for informational purposes only.