Clemsen, Lance

Clemsen, Lance is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Clemsen, Lance can be contacted via phone (319) 356-2431.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Fax: (319) 384-8843
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 00548 Iowa

Profile Details

NPI number 1639164304
LBN Legal business name Clemsen, Lance
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Apr 3rd, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639164304 NPPES
Iowa Other 20013 WELLMARK BCBS

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