NPI 1154362721

Lori A. Shockley, MD

Practitioner Pediatrics Physician Waterloo, IA

Practice location

Address: 2710 Saint Francis Dr Suite 510, Waterloo, IA 50702-5619
Phone: (319) 272-5000
Fax: (319) 272-1535
Mailing address: 2101 Kimball Ave, Waterloo, IA 50702-5063

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 34356 (IA)

Other Pediatrics providers in Iowa →

Registry record

NPI: 1154362721
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2006
Record last updated: 17 Jul 2007

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.