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Individual

MR. LAFAYETTE J TWYNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 1ST AVE E STE D, NEWTON, IA 50208-4255
(641) 787-0343
(641) 787-0353
Mailing address
2501 1ST AVE E STE D, NEWTON, IA 50208-4255
(641) 787-0343
(641) 787-0353

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20281
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2134551
IA
01
42452
BC BS
Enumeration date
09/29/2005
Last updated
09/30/2011
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