NPI 1659923654
Renee Beth Carlson
Practice location
- Address
- 111 E Water St, Decorah, IA 52101-1801
- Phone
- (563) 382-6212
- Fax
- (563) 382-6420
Registered specialties (2)
Mastectomy Fitter
Primary
Mastectomy Fitter
Registry record
- NPI
- 1659923654
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Jul 2019
- Record last updated
- 10 Jul 2019
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.