Kongable, Lisa R

Kongable, Lisa R is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kongable, Lisa R can be contacted via phone (319) 353-6963.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 353-6963
Fax: (319) 356-2587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X T-076356 Iowa

Profile Details

NPI number 1336158666
LBN Legal business name Kongable, Lisa R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 9th, 2019 - about 6 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 1336158666 NPPES
Iowa Other 500029110 RAILROAD MEDICARE
Iowa Other 24739 RAILROAD MEDICARE
Iowa Other 463848 RAILROAD MEDICARE
Iowa MEDICAID 0438127 RAILROAD MEDICARE
Iowa Other 59200 RAILROAD MEDICARE

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