Individual
LYDIA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
Mailing address
22564 306TH ST, WAUCOMA, IA 52171-7164
(641) 220-2215
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
122
MN
367500000X
Certified Registered Nurse Anesthetist
D120926
IA
Other
Enumeration date
02/19/2014
Last updated
10/27/2017
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