| NPI | 1043428329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L LINDSTROM Business Owner 641-423-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-11-13 |