Provider Demographics
NPI:1710206255
Name:SCHWIEBERT, LISA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARIE
Last Name:SCHWIEBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2996 7TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-3713
Mailing Address - Country:US
Mailing Address - Phone:319-377-4844
Mailing Address - Fax:319-377-0852
Practice Address - Street 1:2996 7TH AVE STE B
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3713
Practice Address - Country:US
Practice Address - Phone:319-377-4844
Practice Address - Fax:319-377-0852
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2019-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-39678207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAMD-39678OtherIOWA MEDICAL LICENSE