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NPI Code Detail

MEDICARE: LAURA CATHERINE CROW LISW

MEDICARE: LAURA CATHERINE CROW 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
11041C0700XClinical Social Worker109888IA

General Provider Information

NPI Number : 1962157768
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CATHERINE CROW LISW
Provider Business Mailing Address
First Line : 1450 BOYSON RD STE C-2B
Second Line :
City : HIAWATHA
State : IA
Zip : 52233-2323
Country : US
Telephone Number : 319-474-5779
Fax Number : 319-214-6750
Provider Business Practice Location Address
First Line : 1811 BOYSON RD STE A
Second Line :
City : HIAWATHA
State : IA
Zip : 52233-1270
Country : US
Telephone Number : 319-250-1267
Fax Number : 319-200-4456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2022
Last Update Date : 12/31/2025

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Directions to “ LAURA CATHERINE CROW LISW” Practice Location

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