Individual
LILLIE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 14TH PL, DES MOINES, IA 50314-1231
(515) 401-4773
Mailing address
1161 14TH PL, DES MOINES, IA 50314-1231
(515) 401-4773
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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