Organization
OPTIMAL T CB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI STEPHENS (ACCESS MANAGER)
(712) 256-5544
Entity
Organization
Contact information
Practice address
1030 WRIGHT RD STE 3, COUNCIL BLUFFS, IA 51501-8804
(712) 256-5544
Mailing address
1030 WRIGHT RD STE 3, COUNCIL BLUFFS, IA 51501-8804
(712) 256-5544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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