Individual
LAVONE M SOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5920
Mailing address
5885 SUNNYBROOK DR, SIOUX CITY, IA 51106-4203
(712) 266-2760
(712) 266-2719
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
061529
IA
363LF0000X
Family Nurse Practitioner
Primary
A061529
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424515
—
IA
01
—
12699
WELLMARK
IA
01
—
22918
SIOUX VALLEY HEALTH
SD
01
—
9969
MIDLANDS CHOICE
IA
Enumeration date
07/09/2006
Last updated
06/14/2021
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