Individual
SOM LERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 438-3253
(515) 438-3631
Mailing address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 438-3253
(515) 438-3631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
21428
IA
208D00000X
General Practice Physician
Primary
21428
IA
Other
Enumeration date
12/19/2006
Last updated
04/10/2014
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