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NPI Code Detail

MEDICARE: MRS. DAWN MARIE HAMILTON LISW

MEDICARE: MRS. DAWN MARIE HAMILTON LISW
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 Worker116622IA

General Provider Information

NPI Number : 1811606403
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN MARIE HAMILTON LISW
Provider Business Mailing Address
First Line : 819 5TH ST SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52401-2128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3812 CEDAR HEIGHTS DR
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-6260
Country : US
Telephone Number : 319-260-2149
Fax Number : 319-200-2516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2022
Last Update Date : 01/27/2026

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