Individual
MRS. LISA JUNE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101
Mailing address
401 STATE ST, EMMETSBURG, IA 50536-1266
(712) 852-9404
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
L103874
IA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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