Lydia Jane Krzyzak Weir, | |
1444 Nw 124th Ct, Clive, IA 50325-8150 | |
(515) 278-2782 | |
Not Available |
Full Name | Lydia Jane Krzyzak Weir |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1444 Nw 124th Ct, Clive, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760074397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 106750 (Iowa) | Primary |
Provider Name | Kellie K Hoover Dc Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942447552 PECOS PAC ID: 1759431422 Enrollment ID: O20090618000415 |
Provider Name | Krzyzak Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275262768 PECOS PAC ID: 7214318526 Enrollment ID: O20220718003458 |
Mailing Address | Practice Location Address |
---|---|
Lydia Jane Krzyzak Weir, 1444 Nw 124th Ct, Clive, IA 50325-8150 Ph: (515) 278-2782 | Lydia Jane Krzyzak Weir, 1444 Nw 124th Ct, Clive, IA 50325-8150 Ph: (515) 278-2782 |
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