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NPI Code Detail

MEDICARE: IOWA LAKES ORTHOPAEDICS , P.C.

MEDICARE: IOWA LAKES ORTHOPAEDICS , P.C.
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
1207X00000XOrthopaedic Surgery Physician

Other Identifiers

General Provider Information

NPI Number : 1952363608
Entity Type Code : Organization
Provider Name (Legal Business Name) : IOWA LAKES ORTHOPAEDICS , P.C.
Provider Business Mailing Address
First Line : 2309 23RD ST.
Second Line : P. O. BOX 273
City : SPIRIT LAKE
State : IA
Zip : 51360-0273
Country : US
Telephone Number : 712-336-5311
Fax Number : 712-336-0020
Provider Business Practice Location Address
First Line : 2309 23RD ST.
Second Line :
City : SPIRIT LAKE
State : IA
Zip : 51360-0273
Country : US
Telephone Number : 712-336-5311
Fax Number : 712-336-0020
Authorized Official
Title or Position : CLINIC ADMINISTRATOR
Name : MR. GREGORY SHELL
Credential :
Telephone Number : 712-336-5311
Provider Enumeration Date : 04/06/2006
Last Update Date : 09/14/2010

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Directions to “IOWA LAKES ORTHOPAEDICS , P.C. ” Practice Location

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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.