Individual
MRS. LAURA P. GANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1731 W RIDGEWAY AVE, STE. 200, WATERLOO, IA 50701-4595
(319) 833-5725
(319) 833-5729
Mailing address
1731 W RIDGEWAY AVE, STE. 200, WATERLOO, IA 50701-4595
(319) 833-5725
(319) 833-5729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17474
IA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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