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Organization
LUCAS COUNTY HEALTH CENTER
Active
Organization
LUCAS COUNTY HEALTH CENTER
Active
Other names
CRNA GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
LORI JOHNSON (CHIEF OPERATIONS OFFICER)
(641) 774-3360
Entity
Organization
Contact information
Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
Mailing address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289835
—
IA
Enumeration date
05/22/2007
Last updated
12/16/2020
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