Healthcare Provider Details

I. General information

NPI: 1184545600
Provider Name (Legal Business Name): LIZA JANE BUHR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 48TH STREET DES MOINES
DES MOINES IA
50310
US

IV. Provider business mailing address

5406 MERLE HAY RD
JOHNSTON IA
50131-1209
US

V. Phone/Fax

Practice location:
  • Phone: 515-727-8750
  • Fax: 515-727-8757
Mailing address:
  • Phone: 515-727-8750
  • Fax: 515-727-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number134249
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: