| NPI | 1730437542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN LAMOUREUX-LEWALLEN Family Nurse Practitioner 712-580-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IA A-083751) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2024-05-16 |