Individual
LAVERTA Y EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
503 3RD ST, KALONA, IA 52247-9526
(319) 656-3151
(319) 656-3319
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3855
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A040752
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423335
—
IA
01
—
CG7398
RAILROAD MEDICARE
IA
Enumeration date
06/04/2006
Last updated
12/31/2007
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