Healthcare Provider Details

I. General information

NPI: 1669387320
Provider Name (Legal Business Name): MS. LAURIE LYNN SIEVERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5553 44TH AVE S
CLINTON IA
52732-9795
US

IV. Provider business mailing address

5553 44TH AVE S
CLINTON IA
52732-9795
US

V. Phone/Fax

Practice location:
  • Phone: 563-503-4082
  • Fax:
Mailing address:
  • Phone: 563-503-4082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: