Individual
MRS. LANA WICKS MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
108 5TH AVE, DECORAH, IA 52101
(563) 382-3657
(563) 382-0739
Mailing address
108 5TH AVE, DECORAH, IA 52101
(563) 382-3657
(563) 382-0739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08855
IA
Other
Enumeration date
08/10/2011
Last updated
04/09/2024
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