Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 24283 | IA |
NPI | 1043217748 |
---|---|
Provider Name | Dr. Lisa A Veach |
First Address | Des Moines, IA 50309-1423 |
Second Address | Des Moines, IA 50309-1423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 22/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0067660 | (05) | IA |
1043217748 | (05) | IA |
440000457 | RR MEDICARE (01) | IA |
A02474 | (02) |