Ducommun, Lisa M.

Ducommun, Lisa M. is an individual health care provider with primary practice located at 300 Sioux Valley Dr , Cherokee IA 51012-1205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Ducommun, Lisa M. can be contacted via phone (712) 225-6265.

Contact Information

Primary practice address
300 Sioux Valley Dr Cherokee IA 51012-1205
Phone: (712) 225-6265
Fax: (712) 225-6800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X A-097930 Iowa

Profile Details

NPI number 1023105616
LBN Legal business name Ducommun, Lisa M.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Oct 1st, 2014 - about 10 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 1023105616 NPPES
Iowa Other A-097930 IOWA LICENSE
Iowa MEDICAID 0560631 IOWA LICENSE
Iowa Other 27781 IOWA LICENSE

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