Organization
LCA, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M ROEHR (CHIEF ADMINISTRATIVE OFFICER)
(319) 743-7300
Entity
Organization
Contact information
Practice address
1550 BOYSON RD, HIAWATHA, IA 52233-2362
(319) 743-7300
(319) 743-7311
Mailing address
1550 BOYSON RD, HIAWATHA, IA 52233-2362
(319) 743-7300
(319) 743-7311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465302
—
IA
Enumeration date
01/17/2006
Last updated
09/27/2007
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