Renee D Lass | |
4626 Progress Dr Ste B Davenport IA 52807-3485 | |
(563) 359-3736 | |
(563) 359-0153 |
Full Name | Renee D Lass |
---|---|
Speciality | Family Medicine |
Location | 4626 Progress Dr Ste B, Davenport, Iowa |
Authorized Official Name and Position | Pam Bell (OFFICE MGR) |
Authorized Official Contact | 5633593736 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renee D Lass 4626 Progress Dr Ste B Davenport IA 52807-3485 Ph: (563) 359-3736 | Renee D Lass 4626 Progress Dr Ste B Davenport IA 52807-3485 Ph: (563) 359-3736 |
NPI Number | 1043228604 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 04/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043228604 | NPI | - | NPPES |
3444885 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3589 (Iowa) | Primary |
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