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NPI Code Detail

MEDICARE: MR. LONNIE LEE LANFERMAN DO

MEDICARE: MR. LONNIE LEE LANFERMAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02890IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080185497OTHERIARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114999810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LONNIE LEE LANFERMAN DO
Provider Business Mailing Address
First Line : 1805 CARDINAL LN
Second Line :
City : PELLA
State : IA
Zip : 50219-8109
Country : US
Telephone Number : 641-780-7205
Fax Number :
Provider Business Practice Location Address
First Line : 1001 PENNSYLVANIA AVE
Second Line :
City : OTTUMWA
State : IA
Zip : 52501-6427
Country : US
Telephone Number : 641-682-7511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 01/23/2014

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