Individual
LORI L MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1378 NW 124TH ST, CLIVE, IA 50325-8151
(515) 288-6097
(515) 288-8335
Mailing address
1378 NW 124TH ST, CLIVE, IA 50325-8151
(515) 288-6097
(515) 288-8335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A-096152
IA
Other
Enumeration date
01/24/2011
Last updated
05/06/2015
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