Individual
LISA A KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4626 PROGRESS DR, SUITE C, DAVENPORT, IA 52807-3485
(563) 441-9100
(563) 441-9101
Mailing address
4626 PROGRESS DR, SUITE C, DAVENPORT, IA 52807-3485
(563) 441-9100
(563) 441-9101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03155
IA
Other
Enumeration date
01/12/2006
Last updated
07/16/2007
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