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Individual

KALA AVE-LALLEMANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7313
(804) 355-8533
Mailing address
155 BRYANT ST, DUBUQUE, IA 52003-7434
(843) 209-4563

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172376
VA
363LF0000X
Family Nurse Practitioner
18625
SC

Other

Enumeration date
01/21/2014
Last updated
04/19/2016
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