Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 21054 | IA |
NPI | 1124020615 |
---|---|
Provider Name | James R Lamorgese |
First Address | Cedar Rapids, IA 52402-5036 |
Second Address | Cedar Rapids, IA 52402-5036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 15/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
24132 | WELLMARK (01) | IA |
3149880 | (05) | IA |
A01313 | (02) | IA |
C62126 | RAILRAOD MEDICARE GROUP (01) | IA |
P00012193 | RAILROAD MEDICARE (INDIVI (01) | IA |