Individual
LAINE DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-2015
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3909
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21539
IA
Other
Enumeration date
02/01/2006
Last updated
12/22/2016
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