Individual
MRS. LYDIA CHRISTOFFERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
1330 ELMHURST DR NE, CEDAR RAPIDS, IA 52402-4763
(319) 363-8213
Mailing address
5616 SHILOH LN NE, CEDAR RAPIDS, IA 52411-7967
(319) 540-6011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118185
IA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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