| Lydia Jane Krzyzak Weir, | |
|
1444 Nw 124th Ct, Clive, IA 50325-8150 | |
| (515) 278-2782 | |
| Not Available |
| Full Name | Lydia Jane Krzyzak Weir |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 1444 Nw 124th Ct, Clive, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760074397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 106750 (Iowa) | Primary |
| Provider Name | Krzyzak Chiropractic LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275262768 PECOS PAC ID: 7214318526 Enrollment ID: O20220718003458 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Jane Krzyzak Weir, 1444 Nw 124th Ct, Clive, IA 50325-8150 Ph: (515) 278-2782 | Lydia Jane Krzyzak Weir, 1444 Nw 124th Ct, Clive, IA 50325-8150 Ph: (515) 278-2782 |
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