Individual
DR. GARETH PATRICK LOURENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1218 SE UNIVERSITY AVE, WAUKEE, IA 50263-8831
(515) 987-1290
Mailing address
1218 SE UNIVERSITY AVE, WAUKEE, IA 50263-8831
(515) 987-1290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
098285
IA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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