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NPI Code Detail

MEDICARE: LORI M BALLEW

MEDICARE: LORI M BALLEW
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
1171400000XHealth & Wellness CoachIA

General Provider Information

NPI Number : 1639014772
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI M BALLEW
Provider Business Mailing Address
First Line : 31964 320TH ST
Second Line :
City : BELLEVUE
State : IA
Zip : 52031-9717
Country : US
Telephone Number : 563-581-9049
Fax Number :
Provider Business Practice Location Address
First Line : 3375 LAKE RIDGE DR
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7864
Country : US
Telephone Number : 563-207-8932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ LORI M BALLEW ” Practice Location

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