Individual
DR. RICHARD ELLIS LAREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2460 TOWNCREST DR, IOWA CITY, IA 52240-6622
(319) 338-7862
Mailing address
2557 N DODGE ST, IOWA CITY, IA 52245-9556
(319) 338-1535
(319) 338-5768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27484
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292292
—
IA
01
—
49886
WELLMARK BCBS
IA
Enumeration date
02/14/2006
Last updated
03/07/2023
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