Individual
DR. LISA A SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2015 W 5TH ST, STORM LAKE, IA 50588-3000
(712) 732-5030
Mailing address
24 N 9TH ST, FORT DODGE, IA 50501-3905
(515) 574-6890
(515) 574-6458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35941
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00881
BC/BS ER LOCATION
IA
01
—
0121965
UNITED HEALTH CARE
IA
01
—
01644
WELLMARK BCBS CLINIC LOCA
IA
05
—
0469452
—
IN
05
—
1469452
—
IA
01
—
246974
MIDLANDS CHOICE
IA
01
—
426038405
CIGNA
IA
01
—
42603840551041
WPS TRICARE
IA
01
—
45838
SIOUX VALLEY HEALTH PLAN
IA
01
—
4878
AVERA HEALTH PLAN
IA
01
—
703361045139
PREFERRED ONE
IA
01
—
9233000
DAKOTACARE
IA
01
—
I14710
COVENTRY HEALTH CARE
IA
Enumeration date
12/29/2005
Last updated
12/22/2016
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