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Individual

AMANDA J LANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
111 S 5TH ST, MAPLETON, IA 51034-1201
(712) 882-2234
(712) 882-2605
Mailing address
409 EVANS ST, SLOAN, IA 51055-7748
(712) 279-5830
(712) 279-5883

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001302
IA
363AM0700X
Medical Physician Assistant
Primary
001302
IA

Other

Enumeration date
04/07/2006
Last updated
09/26/2016
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