Provider Demographics
NPI:1407403363
Name:LAHR, ELIZABETH M (DPT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:LAHR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 SHOREVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-6515
Mailing Address - Country:US
Mailing Address - Phone:563-608-9043
Mailing Address - Fax:
Practice Address - Street 1:850 18TH ST STE B
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1101
Practice Address - Country:US
Practice Address - Phone:515-207-3297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-24
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA095789225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty