IndividualActive
Branden Roberts
NPI 1154979557 · Physical Medicine & Rehabilitation Physician · Lake City, IA
Provider details
- NPI number
- 1154979557
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 082695 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1301 W Main St
Lake City, IA 51449-1585
Phone: (712) 464-3171
Fax: (712) 464-3269
Approximate (ZIP-level) locationGet directions
Mailing address
1301 W Main St
Lake City, IA 51449-1585
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.