Individual
LORITA LYNN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6254
(319) 353-6399
Mailing address
6925 CHELSEA DR NE, CEDAR RAPIDS, IA 52402-1432
(319) 550-7694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001308
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25413
WELLMARK BCBS
IA
Enumeration date
09/23/2005
Last updated
03/10/2008
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