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Organization

RENEE D LASS

Active
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Organization

RENEE D LASS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAM BELL (OFFICE MGR)
(563) 359-3736
Entity
Organization

Contact information

Practice address
4626 PROGRESS DR STE B, DAVENPORT, IA 52807-3485
(563) 359-3736
(563) 359-0153
Mailing address
4626 PROGRESS DR STE B, DAVENPORT, IA 52807-3485
(563) 359-3736
(563) 359-0153

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3589
IA

Other

Enumeration date
08/03/2006
Last updated
04/08/2008
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