NPI 1225546450

Shea Coleman

Practitioner Health Educator Clear Lake, IA

Practice location

Address: 419 Main Ave, Clear Lake, IA 50428-1809
Phone: (641) 529-0486

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence 076731 (IA)

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Registry record

NPI: 1225546450
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2018
Record last updated: 23 Jan 2018

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.