Individual
DR. LAURA A AVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1202 E 2ND AVE, INDIANOLA, IA 50125-2802
(515) 961-2400
(515) 961-7963
Mailing address
1202 E 2ND AVE, INDIANOLA, IA 50125-2802
(515) 961-2400
(515) 961-7963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06698
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FEDERAL TAX ID
20-8551724
IA
Enumeration date
01/12/2006
Last updated
01/25/2012
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