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Organization
LIGHTYEAR HEALTH CLINIC IOWA, PC
Active
Organization
LIGHTYEAR HEALTH CLINIC IOWA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD MITTA MD (OWNER)
(888) 380-0988
Entity
Organization
Contact information
Practice address
400 E COURT AVE STE 110, DES MOINES, IA 50309-2027
(888) 380-0988
(833) 992-2313
Mailing address
2950 BUSKIRK AVE STE 300, WALNUT CREEK, CA 94597-6900
(888) 380-0988
(727) 594-6296
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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