Individual
DR. LISA RAE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. C.
Contact information
Practice address
621 EUCLID AVENUE, DES MOINES, IA 50313
(515) 282-8141
(515) 282-8670
Mailing address
621 EUCLID AVENUE, DES MOINES, IA 50313
(515) 282-8141
(515) 282-8670
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06751
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464834
—
IA
01
—
38384
WELLMARK BC-BS
IA
Enumeration date
10/03/2006
Last updated
07/08/2007
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