Individual
DR. JANA LYNN POOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1340 E HICKMAN RD, SUITE D, WAUKEE, IA 50263-8137
(515) 987-8833
(515) 987-3718
Mailing address
5525 NW 78TH CT, JOHNSTON, IA 50131-1700
(515) 276-1115
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00765
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6489460001
DMERC
IA
Enumeration date
11/14/2005
Last updated
11/30/2016
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