Provider Demographics
NPI:1740094143
Name:WEIGHT LOSS & WELLNESS CENTER OF IOWA, PLLC
Entity type:Organization
Organization Name:WEIGHT LOSS & WELLNESS CENTER OF IOWA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-521-2615
Mailing Address - Street 1:12808 OAK BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50323-8001
Mailing Address - Country:US
Mailing Address - Phone:650-521-2615
Mailing Address - Fax:
Practice Address - Street 1:4201 CORPORATE DR STE 100
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5906
Practice Address - Country:US
Practice Address - Phone:515-421-9355
Practice Address - Fax:515-329-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty