Individual
LISA R KONGABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6963
(319) 356-2587
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6963
(319) 356-2587
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
T-076356
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438127
—
IA
01
—
24739
MIDLANDS
IA
01
—
463848
VALUE OPTIONS RAILROAD
IA
01
—
500029110
RAILROAD MEDICARE
IA
01
—
59200
WELLMARK
IA
Enumeration date
08/05/2006
Last updated
12/09/2019
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