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1417992272
THEODORE S LEDERMAN
WATERLOO, IA
NPI
1417992272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IA 18607)
Enumeration Date
2006-06-17
Last Update Date
2007-07-16
Business Address
DR. THEODORE S LEDERMAN MD
2710 SAINT FRANCIS DR SUITE 210
WATERLOO, IA 50702-5619
Phone number: 319-272-5000
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Mailing Address
DR. THEODORE S LEDERMAN MD
2101 KIMBALL AVE LL14
WATERLOO, IA 50702-5063
Phone number: 319-272-1590
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