Individual
LAURIS C KALDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 E 9TH ST, CORALVILLE, IA 52241
(319) 467-2000
(319) 467-2410
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-6706
(319) 356-3086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33692
IA
207RI0200X
Infectious Disease Physician
33692
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218891
—
IA
01
—
24471
WELLMARK BCBS
IA
Enumeration date
10/03/2005
Last updated
06/14/2018
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