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Individual

LORI K KRAUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1021 NEBRASKA STREET, SIOUX CITY, IA 51104
(712) 252-2477
(712) 252-5516
Mailing address
1021 NEBRASKA STREET, PO BOX 5410, SIOUX CITY, IA 51102
(712) 252-2477
(712) 252-5516

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001290
IA
363A00000X
Physician Assistant
1973
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0092080
IA
Enumeration date
05/13/2006
Last updated
06/14/2021
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