Healthcare Provider Details

I. General information

NPI: 1992314108
Provider Name (Legal Business Name): LYNZEE MAKOWSKI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2020
Last Update Date: 01/27/2024
Certification Date: 01/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST
DES MOINES IA
50309-1453
US

IV. Provider business mailing address

28209 530TH AVE
KELLEY IA
50134-8550
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-5031
  • Fax:
Mailing address:
  • Phone: 651-329-7994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA157012
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberA157012
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: