Dr Lori A Shockley, MD | |
2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | |
(319) 272-5000 | |
(319) 272-1535 |
Full Name | Dr Lori A Shockley |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2710 Saint Francis Dr, Waterloo, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154362721 | NPI | - | NPPES |
0249599 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34356 (Iowa) | Primary |
Entity Name | Covenant Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534 |
Mailing Address | Practice Location Address |
---|---|
Dr Lori A Shockley, MD 2101 Kimball Ave, Waterloo, IA 50702-5063 Ph: (319) 272-1590 | Dr Lori A Shockley, MD 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 Ph: (319) 272-5000 |
Dr. Michelle Nicole Kompare, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8000 | |
Dr. Brian E Sims, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5445 | |
Kiley Erin Lahmann, DNP ARNP CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-874-3000 | |
Dr. Benjamin Harrison Davidson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr., Suite 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5445 | |
Pradeep Kumar Velumula, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8203 Fax: 319-272-8203 | |
Kimberly Neumann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300 |