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NPI Code Detail

MEDICARE: LORI ANN PEDERSEN LISW, MAPC

MEDICARE:   LORI ANN PEDERSEN  LISW, MAPC
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
1104100000XSocial Worker007084IA

General Provider Information

NPI Number : 1518122670
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI ANN PEDERSEN LISW, MAPC
Provider Business Mailing Address
First Line : 4102 18TH ST
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-2123
Country : US
Telephone Number : 319-230-8018
Fax Number :
Provider Business Practice Location Address
First Line : 2550 MIDDLE RD STE 300
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-3287
Country : US
Telephone Number : 319-230-8018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2008
Last Update Date : 06/11/2026

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Directions to “ LORI ANN PEDERSEN LISW, MAPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.