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NPI 1679430110 · Adult Medicine Physician · Lake View, IA
Provider details
- NPI number
- 1679430110
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Mogensen, Provider(712) 830-4840
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
460 N State Rd
Lake View, IA 51450-7307
Phone: (712) 830-3170
Approximate (ZIP-level) locationGet directions
Mailing address
460 N State Rd
Lake View, IA 51450-7307
Registry dates
- Enumerated
- 2026-01-07
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.