Individual
MR. LAURIE A. SIDDALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 N 4TH AVE E, SUITE 200, NEWTON, IA 50208-3155
(641) 792-2112
(641) 792-8484
Mailing address
300 N 4TH AVE E, SUITE 200, NEWTON, IA 50208-3155
(641) 792-2112
(641) 792-8484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
268471-22
IA
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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