Provider Demographics
NPI:1164409215
Name:KAMSTRA, LEE A (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:A
Last Name:KAMSTRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 LINCOLN CIR SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1862
Mailing Address - Country:US
Mailing Address - Phone:712-737-2000
Mailing Address - Fax:712-737-2115
Practice Address - Street 1:1000 LINCOLN CIR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1862
Practice Address - Country:US
Practice Address - Phone:712-737-2000
Practice Address - Fax:712-737-2115
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2023-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA30024207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA9099788Medicaid
IAF64952OtherCOVENTRY HEALTH CARE
IA0117562OtherMEDICA
IA703361023567OtherPREFERRED ONE
IA0117562OtherUNITED HEALTH CARE
IA4976OtherMIDLANDS CHOICE
IA20948OtherSIOUX VALLEY HEALTH PLAN
IA0634626Medicaid
IA46873OtherBC/BS ER LOCATION
IA54147OtherWELLMARK BCBS CLINIC LOCA
IA54147OtherFIRST ADMINISTRATORS
IA426038405OtherCIGNA
IA426038405OtherEQUITABLE LIFE & CASUALTY
IA42603840551041OtherWPS TRICARE
IA6099788Medicaid
IA4976OtherMIDLANDS CHOICE
IA20948OtherSIOUX VALLEY HEALTH PLAN
IA426038405OtherCIGNA
IA080107838Medicare ID - Type UnspecifiedRAILROAD MEDICARE
IA9099788Medicaid