; NPI #1790231371

Contact Information

FREDDIE LEDERLE

3260 SOUTHGATE PLACE
CEDAR RAPIDS, IA 52404

Phone: 319-365-1444
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Taxi	344600000X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1790231371`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	09/01/2016
Last updated	09/01/2016 - About 10 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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