Individual
LACINDA ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 COUNTY LINE RD, VICTOR, IA 52347-7752
(563) 380-2807
Mailing address
503 COUNTY LINE RD, VICTOR, IA 52347-7752
(563) 380-2807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
095169
IA
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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