Individual
LARRY G LAMASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 S WALNUT ST, FAIRBANK, IA 50629-8531
(319) 635-2110
(319) 635-2509
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
667
IA
Other
Enumeration date
06/28/2006
Last updated
07/16/2007
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