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Individual

LISA GAIL SOLDAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 HICKMAN ROAD, DES MOINES, IA 50314-1957
(515) 282-2200
Mailing address
1801 HICKMAN ROAD, DES MOINES, IA 50314-1957
(515) 282-2200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35372
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16933
WELLMARK OF IOWA
IA
01
243076
MIDLANDS CHOICE
IA
05
430587
IA
01
71815
WELLMARK BCBS
IA
01
IA0181
JOHN DEERE
IA
Enumeration date
11/02/2006
Last updated
11/15/2012
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