Carlson, Lisa R
Carlson, Lisa R is an individual health care provider with primary practice located at 1605 Se Delaware Ave Suite F, Ankeny IA 50021-4594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carlson, Lisa R can be contacted via phone (515) 964-5555.Contact Information
Primary practice address
1605 Se Delaware Ave Suite F
Ankeny IA 50021-4594
Phone: (515) 964-5555
Fax: (515) 964-5505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | IA 30072 | Iowa |
Profile Details
| NPI number | 1598755522 |
|---|---|
| LBN Legal business name | Carlson, Lisa R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598755522 | NPPES |
| Iowa | MEDICAID | 1113076 |
Popular Providers
-
Reynolds, Eric
1345 Sw Park Square Dr Ste 200 , Ankeny IA 50023-2687 -
Whitney, Allison Lane
1410 Sw Tradition Dr Ste 200 , Ankeny IA 50023-9188 -
Folden, Cheri
800 E 1St St Ste 2200 , Ankeny IA 50021 -
Gavin, Emily S
909 Sw Oralabor Rd Suite 100, Ankeny IA 50023-7004 -
Syata, Rhonda Lynn Dodge
909 Sw Oralabor Rd , Ankeny IA 50023-7004 -
Myers, Melissa Ashbacher
120 Nw 36Th St , Ankeny IA 50023-8411 -
Huston, Courtney
909 Sw Oralabor Rd , Ankeny IA 50023-7004 -
Brink, Daniel L
909 Sw Oralabor Rd Suite 100, Ankeny IA 50023-7004