Individual
DR. LESYA M SHUBA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, UNIVERSITY OF IOWA HOSPITALS & CLINICS, IOWA CITY, IA 52242-1082
(319) 356-2380
(319) 353-7699
Mailing address
200 HAWKINS DR, UNIVERSITY OF IOWA HOSPITALS & CLINICS, IOWA CITY, IA 52242-1082
(319) 356-2380
(319) 353-7699
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36029
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469692
—
IA
01
—
57364
WELLMARK BCBS
IA
Enumeration date
11/10/2005
Last updated
07/08/2007
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