Individual
DR. RENEE DIANE LASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4626 PROGRESS DR, SUITE B, DAVENPORT, IA 52807-3485
(563) 359-3736
(563) 359-0153
Mailing address
4626 PROGRESS DR, SUITE B, DAVENPORT, IA 52807-3485
(563) 359-3736
(563) 359-0153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3589
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04386
BLUE CROSS BLUE SHIELD
IA
05
—
3444885
—
IA
Enumeration date
03/28/2006
Last updated
07/21/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us