| Larew Internal Medicine Plc | |
|
2557 N Dodge St Iowa City IA 52245-9556 | |
| (319) 338-1535 | |
| (319) 338-5768 |
| Full Name | Larew Internal Medicine Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2557 N Dodge St, Iowa City, Iowa |
| Authorized Official Name and Position | Richard E. B. Larew (OWNER) |
| Authorized Official Contact | 3193381535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larew Internal Medicine Plc 2557 N Dodge St Iowa City IA 52245-9556 Ph: (319) 338-1535 | Larew Internal Medicine Plc 2557 N Dodge St Iowa City IA 52245-9556 Ph: (319) 338-1535 |
| NPI Number | 1134780687 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/25/2019 |
| Medicare PECOS PAC ID | 1951638089 |
|---|---|
| Medicare Enrollment ID | O20190812002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134780687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Ellis Larew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003880592 PECOS PAC ID: 5698728756 Enrollment ID: I20100220000269 |
| Provider Name | Molly M. Deprenger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730556804 PECOS PAC ID: 7911285382 Enrollment ID: I20220408002234 |
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