Organization
LUCAS COUNTY HEALTH CENTER
Active
Other names
CRNA GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
LORI JOHNSON (CHIEF OPERATIONS OFFICER)
(641) 774-3360
Entity
Organization
Contact information
Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
Mailing address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289835
—
IA
Enumeration date
05/22/2007
Last updated
12/16/2020
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