Individual
LORRAINE C ROGE-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 WOODLAND AVE, WEST DES MOINES, IA 50265-2306
(515) 280-3860
Mailing address
1300 WOODLAND AVE, WEST DES MOINES, IA 50265-2306
(712) 223-0164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085009650
IL
363A00000X
Physician Assistant
Primary
117521
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2021
Last updated
07/24/2023
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