| NPI | 1982460200 |
|---|---|
| Doing Business As | NORTHSIDE MEDICAL PROFESSIONALS LEWISBURG |
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN STEWART Billing Supervisor 319-797-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |