Active NPI
Lavon Paula Laube, P.A.
- Physician Assistant
- Iowa City, IA
National Provider Identifier
1720058332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000713PA
- Practice address
- 850 Orchard Street
Iowa City, IA 52246-5412 - Phone
- (866) 290-4325
- Fax
- (515) 280-9525
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000713 | IA | |
| Physician Assistant | 363A00000X | 000713PA | IA | Primary |
Addresses
Primary practice location
850 Orchard Street
Iowa City, IA 52246-5412
Mailing address
PO Box 4557
Des Moines, IA 50305-4557
Phone (866) 290-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000713 | IA | MD | Registered Dietitian |
| 000713PA | IA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1720058332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4557",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503054557",
"telephone_number": "866-290-4325",
"fax_number": "515-280-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 ORCHARD STREET",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522465412",
"telephone_number": "866-290-4325",
"fax_number": "515-280-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBE",
"first_name": "LAVON",
"middle_name": "PAULA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "000713",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "000713PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.