Individual
LISA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4949 PLEASANT ST STE 104, WEST DES MOINES, IA 50266-5494
(515) 369-0034
(844) 381-0919
Mailing address
4949 PLEASANT ST STE 104, WEST DES MOINES, IA 50266-5494
(515) 369-0034
(844) 381-0919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001343
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001343
LICENSE NUMBER
IA
Enumeration date
09/30/2005
Last updated
02/10/2026
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