Healthcare Provider Details

I. General information

NPI: 1235504531
Provider Name (Legal Business Name): DAWN MARIE LERO CFCS-HDFS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 HURON ST
MEDIAPOLIS IA
52637-7844
US

IV. Provider business mailing address

1306 HURON ST
MEDIAPOLIS IA
52637-7844
US

V. Phone/Fax

Practice location:
  • Phone: 319-850-5988
  • Fax:
Mailing address:
  • Phone: 319-850-5988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: