Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35-125900 | OH |
N | 208000000X | Pediatrician | MD-46173 | IA |
Y | 2080P0214X | Pediatric Pulmonologist | MD-46173 | IA |
NPI | 1295091510 |
---|---|
Provider Name | Dr. Rebecca Larie Weiner |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2012 |
Last Update Date | 28/06/2019 |