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Individual

MRS. LYLIA JEAN POLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
515 W WALL ST, SEYMOUR, IA 52590-1333
(641) 898-2898
(641) 898-2820
Mailing address
515 W WALL ST, SEYMOUR, IA 52590-1333
(641) 898-2898
(641) 898-2820

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
113922
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
F157207
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428302103
MO
Enumeration date
12/01/2006
Last updated
04/02/2020
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