Organization
L.J. TWYNER M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAFAYETTE J TWYNER M.D. (OWNER)
(641) 787-0343
Entity
Organization
Contact information
Practice address
2501 1ST AVE E STE D, NEWTON, IA 50208-4255
(641) 787-0343
(641) 787-0353
Mailing address
2501 1ST AVE E STE D, NEWTON, IA 50208-4255
(641) 787-0343
(641) 787-0353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20281
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538156138
—
IA
Enumeration date
12/29/2011
Last updated
12/29/2011
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