Individual
LAILA DAHMOUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4440
(319) 384-8052
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4440
(319) 384-8052
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
34002
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240895
—
IA
05
—
1240895
—
IA
01
—
33929
WELLMARK BCBS
IA
01
—
40381
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
12/19/2007
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