| NPI Details | |
|---|---|
| NPI | 1033112669 |
| Enumeration Date | 05/27/2005 |
| Last Updated | 04/24/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 13 years ago |
| Authorized Information | |
|---|---|
| Name | KATHLEEN A KATHLEEN |
| Position | AUTHORIZED OFFICIAL |
| Phone | (319) 342-2232 |
| Fax | (319) 342-3770 |
| Practice Location | |
|---|---|
| 202 MAIN ST LA PORTE CITY IA, 50651-1234, US |
|
| Phone | (319) 342-2232 |
| Fax | (319) 342-3770 |
| Business Location | |
|---|---|
| 202 MAIN ST LA PORTE CITY IA, 50651-1234, US |
|
| Phone | (319) 342-2232 |
| Fax | (319) 342-3770 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 3416L0300X |
| License State | Iowa |
| License Number | 2070600 |
| Remove 1033112669 NPI Number | |
According to our database, City Of La Porte City NPI is 1033112669, taxonomy code is 3416L0300X and license number is 2070600, license state is located at Iowa. City Of La Porte City physically located at 202 Main St, La Porte City IA, 50651-1234. NPI Number 1033115704 has the healthcare provider type.
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1033112669 NPI number is provided on an as is basis without warranty of any kind. 1033112669 is maintained by the National Plan & Provider Enumeration System. The contents of City Of La Porte City are for informational purposes only.
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