Renee D Lass

LBN: Renee D Lass
Renee D Lass is an health care organization with primary practice located at 4626 Progress Dr Ste B , Davenport IA 52807-3485. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Renee D Lass can be contacted via phone (563) 359-3736, or through Bell, Pam via phone (563) 359-3736.

Contact Information

Primary practice address
4626 Progress Dr Ste B Davenport IA 52807-3485
Phone: (563) 359-3736
Fax: (563) 359-0153
Website:
Map and Directions
Authorized official contact:
Name: Bell, Pam
Phone: (563) 359-3736

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3589 Iowa

Profile Details

NPI number 1043228604
LBN Legal business name Renee D Lass
DBA Doing business as
Authorized official Bell, Pam
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Apr 8th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043228604 NPPES
Iowa MEDICAID 3444885

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