| North Iowa Laser Skin Solutions | |
|
5 N Federal Ave Ste 104 Mason City IA 50401-3270 | |
| (641) 494-2404 | |
| Not Available |
| Full Name | North Iowa Laser Skin Solutions |
|---|---|
| Speciality | Family Medicine |
| Location | 5 N Federal Ave Ste 104, Mason City, Iowa |
| Authorized Official Name and Position | Rebecca Jenkins (OWNER) |
| Authorized Official Contact | 6414942404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Iowa Laser Skin Solutions 5 N Federal Ave Ste 104 Mason City IA 50401-3270 Ph: (641) 494-2404 | North Iowa Laser Skin Solutions 5 N Federal Ave Ste 104 Mason City IA 50401-3270 Ph: (641) 494-2404 |
| NPI Number | 1558403857 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558403857 | NPI | - | NPPES |
| 54422 | Other | IA | BLUE CROSS GROUP NUMBER |
| 0265223 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02933 (Iowa) | Primary |
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