Provider Demographics
NPI:1730297144
Name:LAPLACE, JOAN ROSE (DO)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:ROSE
Last Name:LAPLACE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:312 EAST COLLEGE STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240
Mailing Address - Country:US
Mailing Address - Phone:319-351-6325
Mailing Address - Fax:319-351-6326
Practice Address - Street 1:312 EAST COLLEGE STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240
Practice Address - Country:US
Practice Address - Phone:319-351-6325
Practice Address - Fax:319-351-6326
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA020972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA23372OtherWELLMARK BC BS
5899OtherMIDLANDS CHOICE
5899OtherMIDLANDS CHOICE
E4660Medicare UPIN