Individual
MR. LARRY JOSEPH DELLWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
107 W 5TH ST, STORM LAKE, IA 50588-2343
(712) 732-3775
(712) 732-3775
Mailing address
107 W 5TH ST, STORM LAKE, IA 50588-2343
(712) 732-3775
(712) 732-3775
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
132
IA
237700000X
Hearing Instrument Specialist
209
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086892
—
IA
Enumeration date
12/06/2006
Last updated
12/02/2014
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