Organization
WAPELLO EMERGENCY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONNIE L LANFERMAN DO (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 684-2300
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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