Healthcare Provider Details

I. General information

NPI: 1790739563
Provider Name (Legal Business Name): LISA A MEYER A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA A. STECHER A.R.N.P.

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 11/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 ASSOCIATES DR
DUBUQUE IA
52002-2201
US

IV. Provider business mailing address

1500 ASSOCIATES DR
DUBUQUE IA
52002-2201
US

V. Phone/Fax

Practice location:
  • Phone: 563-584-4440
  • Fax: 563-584-4295
Mailing address:
  • Phone: 563-584-4100
  • Fax: 563-584-4110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberC-069838
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: