Individual
CHARLES DAVID LOTERBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
895 SE HARPER DR, WAUKEE, IA 50263-8447
(515) 954-8212
Mailing address
895 SE HARPER DR, WAUKEE, IA 50263-8447
(515) 954-8212
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
136897
IA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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