NPI 1811672397
Lightyear Health Clinic Iowa, PC
Practice location
- Address
- 400 E Court Ave STE 110, Des Moines, IA 50309-2027
- Phone
- (888) 380-0988
- Fax
- (833) 992-2313
- Mailing address
- 2950 Buskirk Ave STE 300, Walnut Creek, CA 94597-6900
Authorised official
- Name
- Vinod Mitta
- Title
- Owner
- Phone
- (888) 380-0988
Registered specialties (3)
Physical Medicine & Rehabilitation Physician
Primary
Physician Assistant
Nurse Practitioner
Registry record
- NPI
- 1811672397
- Entity type
- Organization
- NPI issued
- 21 Jun 2023
- Record last updated
- 21 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.