NPI 1881927341 · live from the CMS NPI Registry
Dr Roy Lidtke Plc
Podiatrist in Cedar Rapids, IA. National Provider Identifier 1881927341, active.
NPI record
| NPI | 1881927341 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1026 A Ave Ne, Suite 5000, Cedar Rapids, IA 52402 |
| Practice phone | 319-929-5572 |
| Mailing address | Po Box 284, Des Moines, IA 50301 |
| Enumerated | September 15, 2009 |
| Last updated | September 15, 2009 |
| Authorized official | Roy Lidtke, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 00555 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.