Individual
MR. LONNIE LEE LANFERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 682-7511
Mailing address
1805 CARDINAL LN, PELLA, IA 50219-8109
(641) 780-7205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02890
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080185497
RAILROAD MEDICARE
IA
05
—
1160655
—
IA
Enumeration date
02/06/2006
Last updated
01/23/2014
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