Renee D Lass

NPI #1043228604 in Davenport, Iowa

Provider Information

NPI Number
1043228604
Entity Type
Organization
Organization Name
Renee D Lass
Primary Specialty
Family Medicine
Enumeration Date
Aug 3, 2006
Last Updated
Apr 8, 2008

Practice Location

Address
4626 PROGRESS DR STE B
State
Iowa
ZIP Code
52807-3485
Phone
(563) 359-3736

Authorized Official

Name
PAM BELL
Title
OFFICE MGR
Phone
(563) 359-3736

Specialties & Taxonomy Codes

Specialty
Family Medicine

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