Individual
DR. LISA KATHRYN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-8033
(319) 352-8034
Mailing address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34304
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438275
—
IA
Enumeration date
07/14/2006
Last updated
02/13/2013
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