LACIE DIANA PORTER

WASHINGTON, IA
NPI1487421103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  A177192)
Enumeration Date2023-12-04
Last Update Date2023-12-07
Business Address
LACIE DIANA PORTER ARNP
400 E POLK ST
WASHINGTON, IA 52353-1237
Phone number: 720-299-1721
Mailing Address
LACIE DIANA PORTER ARNP
729 S 10TH AVE
WASHINGTON, IA 52353-1303
Phone number: 172-029-9172
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