Individual
DR. LORI A. SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2710 SAINT FRANCIS DR, SUITE 510, WATERLOO, IA 50702-5619
(319) 272-5000
(319) 272-1535
Mailing address
2101 KIMBALL AVE, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34356
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249599
—
IA
Enumeration date
06/08/2006
Last updated
07/17/2007
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