ELIZABETH LOUISE TUCKER-SANFELIPPO M. D.
Allergy and Immunology
Cedar Rapids, Iowa
Provider NPI: 1982694329
Provider Information:ELIZABETH LOUISE TUCKER-SANFELIPPO M. D.
Practice Location:
1030 5TH AVE SE SUITE 2000 CEDAR RAPIDS, IA 52403 US
Tel: 319-366-6249 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | IA | 31027 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS | 47048 | IA | 01 |
| UNITED HEALTH CARE RIVER | IA0109 | IA | 01 |
| 0262170 | IA | 05 | |
| 1012150100001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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