Individual
DR. ELIZABETH ANN LONNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
2102 E 38TH ST, DAVENPORT, IA 52807
(563) 359-4049
(563) 359-4069
Mailing address
2102 E 38TH ST, DAVENPORT, IA 52807
(563) 359-4049
(563) 359-4069
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00753
IA
103T00000X
Psychologist
077005258
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108750000
—
IA
Enumeration date
02/03/2006
Last updated
09/14/2011
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