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Individual

LISA E KOONCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7096
(319) 356-4685
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7096
(319) 356-4685

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
K155446
IA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
K155446
IA
363LP0200X
Pediatric Nurse Practitioner
K155446
IA

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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