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Organization

PHYSICIANS LABORATORY OF NORTHWEST IOWA LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE J BRANDT (ADMINISTRATOR)
(605) 322-7208
Entity
Organization

Contact information

Practice address
116 E 11TH ST, SUITE 204, SPENCER, IA 51301-4364
(712) 262-3795
(712) 262-3076
Mailing address
116 E 11TH ST, SUITE 204, SPENCER, IA 51301-4364
(712) 262-3795
(712) 262-3076

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
IA

Other

Enumeration date
07/10/2006
Last updated
09/06/2022
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