# DR. LISA RAE BATES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871688242
- **Gender:** F
- **Credential:** D. C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 06751 | IA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0464834 | — | IA |
| 01 | — | 38384 | WELLMARK BC-BS | IA |