Healthcare Provider Details

I. General information

NPI: 1093700783
Provider Name (Legal Business Name): IAN H LAW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-4697
  • Fax: 319-356-4693
Mailing address:
  • Phone: 319-356-4697
  • Fax: 319-356-4693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD-33308
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: