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NPI Code Detail

MEDICARE: DR. LISA MUNCY-PIETRZAK M.D.

MEDICARE: DR. LISA MUNCY-PIETRZAK M.D.
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
1207R00000XInternal Medicine Physician66124MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316913502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA MUNCY-PIETRZAK M.D.
Provider Business Mailing Address
First Line : 601 HIGHWAY 6 W
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-2209
Country : US
Telephone Number : 319-338-0581
Fax Number :
Provider Business Practice Location Address
First Line : 601 HIGHWAY 6 W
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-2209
Country : US
Telephone Number : 319-351-1110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 10/13/2022

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