Individual
DIANE LEA PAPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
251 N 6TH AVE, ELDRIDGE, IA 52748-1759
(563) 285-4001
(563) 285-6121
Mailing address
251 N 6TH AVE, ELDRIDGE, IA 52748-1759
(563) 285-4001
(563) 285-6121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1690
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161752
—
IA
Enumeration date
02/12/2007
Last updated
07/08/2007
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