Individual
LONNIE JAMES NORGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1450 NW 114TH ST, CLIVE, IA 50325-7039
(844) 680-0504
Mailing address
1009 NE 25TH CT, ANKENY, IA 50021-2601
(515) 410-5493
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G177352
IA
Other
Enumeration date
04/08/2024
Last updated
06/14/2024
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