Individual
DOLIDO IKALABA LUSE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5170 16TH AVENUE SOUTHWEST, 13, CEDAR RAPIDS, IA 52404-6708
(319) 899-7043
Mailing address
5170 16TH AVENUE SOUTHWEST, 13, CEDAR RAPIDS, IA 52404-6708
(319) 899-7043
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
LUV782
IA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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