Longevity Clinical Ltc Associates of Iowa, Pllc

NPI #1083433429 in Sioux City, Iowa

Provider Information

NPI Number
1083433429
Entity Type
Organization
Organization Name
Longevity Clinical Ltc Associates of Iowa, Pllc
Primary Specialty
Family Medicine - Geriatric Medicine
Enumeration Date
Oct 3, 2024
Last Updated
Oct 3, 2024

Practice Location

Address
2121 W 19TH ST
State
Iowa
ZIP Code
51103-2333
Phone
(561) 815-2427

Authorized Official

Name
DIANE VINCUR
Title
MANAGER
Phone
(561) 815-2427

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care
Nurse Practitioner - GerontologyGerontology
Family Medicine
Family Medicine - Geriatric MedicineGeriatric Medicine

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