# IOWA LAKES ORTHOPAEDICS , P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Iowa Lakes Orthopaedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952363608
- **Authorized official:** MR. GREGORY SHELL (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (712) 336-5311

## Contact information

- **Practice address:** 2309 23RD ST., SPIRIT LAKE, IA 51360-0273
- **Practice address phone:** (712) 336-5311
- **Practice address fax:** (712) 336-0020
- **Mailing address:** 2309 23RD ST., P. O. BOX 273, SPIRIT LAKE, IA 51360-0273
- **Mailing address phone:** (712) 336-5311
- **Mailing address fax:** (712) 336-0020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 09/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0070292 | — | IA |
| 05 | — | 2401560 | — | MN |