Provider Demographics
NPI:1952554990
Name:INGWERSEN, LAURA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANN
Last Name:INGWERSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 OKOBOJI AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:MILFORD
Mailing Address - State:IA
Mailing Address - Zip Code:51351-1293
Mailing Address - Country:US
Mailing Address - Phone:712-338-2225
Mailing Address - Fax:712-338-2578
Practice Address - Street 1:2207 OKOBOJI AVE
Practice Address - Street 2:SUITE F
Practice Address - City:MILFORD
Practice Address - State:IA
Practice Address - Zip Code:51351-1293
Practice Address - Country:US
Practice Address - Phone:712-338-2225
Practice Address - Fax:712-338-2578
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1528111N00000X
IA007145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor