| L.J. Twyner M.D., PC | |
|
2501 1st Ave E Ste D Newton IA 50208-4255 | |
| (641) 787-0343 | |
| (641) 787-0353 |
| Full Name | L.J. Twyner M.D., PC |
|---|---|
| Speciality | Family Medicine |
| Location | 2501 1st Ave E Ste D, Newton, Iowa |
| Authorized Official Name and Position | Lafayette J Twyner (OWNER) |
| Authorized Official Contact | 6417870343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L.J. Twyner M.D., PC 2501 1st Ave E Ste D Newton IA 50208-4255 Ph: (641) 787-0343 | L.J. Twyner M.D., PC 2501 1st Ave E Ste D Newton IA 50208-4255 Ph: (641) 787-0343 |
| NPI Number | 1932478435 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932478435 | NPI | - | NPPES |
| 1538156138 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20281 (Iowa) | Primary |
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