Lisa R Kongable in Iowa City - Psychiatric/mental Health

Lisa R Kongable - NPI 1336158666

Lisa R Kongable is a Psychiatric/mental Health in Iowa City, Iowa. Lisa R Kongable practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Lisa R Kongable is 1336158666. The last update date is 2019-12-09.

Lisa R Kongable's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193536963 and fax number 3193562587. The mailing address for Lisa R Kongable is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa R Kongable
Address 200 Hawkins Dr, Iowa City, Iowa
Phone Number 3193536963
Fax Number 3193562587
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1336158666
Provider Enumeration Date 2006-08-05
Last Updated Date 2019-12-09

Provider Mailing Address Detail

Address 200 Hawkins Dr
City Iowa City
State Iowa (IA)
Post Code 522421009
Phone Number 3193536963
Fax Number 3193562587

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No T-076356
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500029110 IA RAILROAD MEDICARE
24739 IA MIDLANDS
463848 IA VALUE OPTIONS RAILROAD
438127 IA --
59200 IA WELLMARK

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FAQs about Lisa R Kongable

What is the unique 10-digit identifier code issued to Lisa R Kongable by the Centers for Medicare & Medicaid Services?

The Lisa R Kongable has been assigned the NPI (National Provider Identifier) 1336158666 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Lisa R Kongable?

The Lisa R Kongable is situated at 200 Hawkins Dr, in the city of Iowa City, state of IA, with the zip code 522421009.

What is Lisa R Kongable's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lisa R Kongable is Psychiatric/mental Health, and the taxonomy classification code that categorizes this area of expertise is 363Lp0808X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336158666 to Lisa R Kongable?

The Centers for Medicare & Medicaid Services originally issued the 1336158666 to Lisa R Kongable on 2006-08-05.

As of what date was the information regarding Lisa R Kongable, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lisa R Kongable, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-12-09.

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