Individual
LUCAS MIHALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05197
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05197
IOWA LICENSE
IA
Enumeration date
06/16/2015
Last updated
02/03/2022
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