Healthcare Provider Details

I. General information

NPI: 1740094143
Provider Name (Legal Business Name): WEIGHT LOSS & WELLNESS CENTER OF IOWA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 CORPORATE DR STE 100
WEST DES MOINES IA
50266-5906
US

IV. Provider business mailing address

12808 OAK BROOK CIR
URBANDALE IA
50323-8001
US

V. Phone/Fax

Practice location:
  • Phone: 515-421-9355
  • Fax: 515-329-6799
Mailing address:
  • Phone: 650-521-2615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TERESA LAMASTERS
Title or Position: CEO OWNER
Credential: MD
Phone: 650-521-2615