Individual
LISA LYNN MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
419 EAST DONALD STREET, WATERLOO, IA 50703-1223
(319) 236-1911
(319) 287-5832
Mailing address
419 E DONALD ST, WATERLOO, IA 50703-1500
(319) 236-1911
(319) 287-5832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A114046
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003054305
WELLMARK BCBS
IA
05
—
1003054305
—
IA
01
—
421417307-UZ
UHC/RIVER VALLEY/JD
IA
01
—
P00704358 (PTAN)
RR MEDICARE
IA
Enumeration date
01/26/2009
Last updated
03/11/2025
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