Individual
LINDA LOU MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
630 ONTARIO ST, STORM LAKE, IA 50588-1845
(712) 213-0109
(712) 213-0186
Mailing address
217 CAYUGA ST, STORM LAKE, IA 50588-2522
(712) 732-0194
(712) 213-0186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A088620
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15484
WELLMARK
IA
Enumeration date
05/16/2006
Last updated
07/08/2007
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