Individual
ELIZABETH LOUISE TUCKER-SANFELIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1030 5TH AVE SE, SUITE 2000, CEDAR RAPIDS, IA 52403-2464
(319) 366-6249
(319) 366-6244
Mailing address
1030 5TH AVE SE, SUITE 2000, CEDAR RAPIDS, IA 52403-2464
(319) 366-6249
(319) 366-6244
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
31027
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262170
—
IA
05
—
1012150100001
—
PA
01
—
47048
BCBS
IA
01
—
IA0109
UNITED HEALTH CARE RIVER
IA
Enumeration date
10/26/2005
Last updated
03/04/2008
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