Individual
LISA SUE SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 E WINFIELD AVE, MT PLEASANT, IA 52641-2928
(319) 385-8051
Mailing address
2230 288TH DR, WILLIAMSBURG, IA 52361-8736
(319) 331-9742
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G176317
IA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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