Individual
LISA JO MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
202 10TH ST SE STE 225, CEDAR RAPIDS, IA 52403-2419
(319) 531-6337
Mailing address
202 10TH ST SE STE 225, CEDAR RAPIDS, IA 52403-2419
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
H108907
IA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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