Lamarcus L Cole
Individual provider Active NPI Home Health Aide · De Witt, IA
NPI 1124625322 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1124625322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 236 4TH St Apt 17
De Witt, IA 52742-2133 - Phone
- (563) 223-3642
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | IA | Yes |
Addresses
Primary practice location
236 4TH St Apt 17
De Witt, IA 52742-2133
Mailing address
236 4TH St Apt 17
De Witt, IA 52742-2133
Phone (563) 223-3642
Other providers in De Witt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.