JACOB ANTHONY LORSUNG

URBANDALE, IA
NPI1861022568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IA  099740)
Enumeration Date2020-01-22
Last Update Date2020-01-22
Business Address
Mr. JACOB ANTHONY LORSUNG PA-C
2424 128TH ST
URBANDALE, IA 50323-1816
Phone number: 515-243-8676
Mailing Address
Mr. JACOB ANTHONY LORSUNG PA-C
811 FLETCHER AVE
WATERLOO, IA 50701-3041
Phone number: