Individual
LOURDES A MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5409 AVE O, STE 120, FT MADISON, IA 52627
(319) 372-7992
(319) 372-9641
Mailing address
5409 AVE O, STE 120, FT MADISON, IA 52627
(319) 372-7992
(319) 372-9641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21053
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139840
—
IA
Enumeration date
02/21/2006
Last updated
02/16/2010
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