Individual
LAWRENCE JEFFREY RISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 PLEASANT ST STE LL3, DES MOINES, IA 50309-1414
(515) 241-8861
(515) 241-8855
Mailing address
1212 PLEASANT ST STE LL3, DES MOINES, IA 50309-1414
(515) 241-8861
(515) 241-8855
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
21307
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107151
—
IA
Enumeration date
09/14/2005
Last updated
12/14/2010
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