Individual
DR. LANCE ALLEN GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 N CENTER POINT RD, HIAWATHA, IA 52233-1231
(319) 743-1440
(319) 743-1444
Mailing address
1075 N CENTER POINT RD, HIAWATHA, IA 52233-1231
(319) 743-1440
(319) 743-1444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40645
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578792321
—
IA
Enumeration date
07/14/2009
Last updated
01/26/2013
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