Individual
DR. LAURI L WONDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
724 AVENUE G, FORT MADISON, IA 52627-2927
(319) 372-7898
(319) 372-5232
Mailing address
724 AVENUE G, FORT MADISON, IA 52627-2927
(319) 372-7898
(319) 372-5232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06523
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444232
—
IA
01
—
19790
WELLMARK BCBS
IA
01
—
525812
IOWA HEALTH SOLUTIONS
IA
Enumeration date
01/31/2006
Last updated
03/29/2022
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