Lois Diane Carlson, RN
Individual provider Active NPI Registered Nurse · Mason City, IA
NPI 1831557347 · NPPES record last updated Jan 29, 2016
Key facts
- NPI
- 1831557347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 078300 (IA)
- Practice address
- 235 S Eisenhower Ave
Mason City, IA 50401-1562 - Phone
- (641) 424-2075
- Fax
- (641) 424-9555
- NPI assigned
- Jan 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellsource | Registered Nurse | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 078300 | IA | Yes |
Addresses
Primary practice location
235 S Eisenhower Ave
Mason City, IA 50401-1562
Mailing address
235 S Eisenhower Ave
Mason City, IA 50401-1562
Phone (641) 424-2075
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2016. 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.