Wibbenmeyer, Lucy A

Wibbenmeyer, Lucy A is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Wibbenmeyer, Lucy A can be contacted via phone (319) 356-7892.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Fax: (319) 356-3392
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31987 Iowa
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 31987 Iowa

Profile Details

NPI number 1346242906
LBN Legal business name Wibbenmeyer, Lucy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346242906 NPPES
Iowa Other 40055 WELLMARK BCBS
Iowa MEDICAID 0155291 WELLMARK BCBS

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