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RENEE D LASS NPI 1043228604


NPI Information

NPI: 1043228604
Provider Name: RENEE D LASS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4626 PROGRESS DR STE B
DAVENPORT, IA
ZIP 52807
Phone: (563) 359-3736
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RENEE D LASS is a family medicine in Davenport, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RENEE D LASS NPI is 1043228604. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4626 PROGRESS DR STE B
DAVENPORT, IA
ZIP 52807-485
Phone: (563) 359-3736
Fax: (563) 359-0153

The provider's authorized official is Pam Bell .
The authorized official title is Office Mgr and has the following contact phone number (563) 359-3736.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 4/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine3589IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PIN NUMBERMEDICARE ID-TYPE UNSPECIFIEDIOWAI16823
2GROUP NUMBERMEDICARE ID-TYPE UNSPECIFIEDIOWAI16832
33444885MEDICAIDIOWA
4H85372MEDICARE UPINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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