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Individual

RYAN P LEMPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1601 AVE D, COUNCIL BLUFFS, IA 51501-2559
(712) 323-5213
Mailing address
11507 S 42ND ST # 109, BELLEVUE, NE 68123-6006
(402) 964-2700

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1225
NE
152WC0802X
Corneal and Contact Management Optometrist
2293
IA
152WP0200X
Pediatric Optometrist
2293
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0441659
IA
05
279351
NE
Enumeration date
04/20/2006
Last updated
11/09/2007
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