Individual
ANDREA DIANNE LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 SE 5TH ST, DES MOINES, IA 50315-1566
(515) 864-9009
Mailing address
2041 SE 5TH ST, DES MOINES, IA 50315-1566
(515) 864-9009
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427963
—
IA
Enumeration date
03/09/2007
Last updated
09/21/2016
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