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NPI Code Detail

MEDICARE: AMBER LYNN RAKOTZ LPN

MEDICARE: AMBER LYNN RAKOTZ LPN
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
1164W00000XLicensed Practical NurseP62136IA

General Provider Information

NPI Number : 1861202103
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LYNN RAKOTZ LPN
Provider Business Mailing Address
First Line : 1850 ROYAL AVE
Second Line :
City : SPIRIT LAKE
State : IA
Zip : 51360-1190
Country : US
Telephone Number : 712-339-7007
Fax Number :
Provider Business Practice Location Address
First Line : 1850 ROYAL AVE
Second Line :
City : SPIRIT LAKE
State : IA
Zip : 51360-1190
Country : US
Telephone Number : 712-336-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2025
Last Update Date : 01/09/2025

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Directions to “ AMBER LYNN RAKOTZ LPN” Practice Location

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