Provider Demographics
NPI:1487541082
Name:NORTH IOWA WELLNESS CLINIC
Entity type:Organization
Organization Name:NORTH IOWA WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:LORENSON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:507-383-5052
Mailing Address - Street 1:608 S 1ST AVE E
Mailing Address - Street 2:
Mailing Address - City:LAKE MILLS
Mailing Address - State:IA
Mailing Address - Zip Code:50450-1427
Mailing Address - Country:US
Mailing Address - Phone:507-383-5052
Mailing Address - Fax:
Practice Address - Street 1:608 S 1ST AVE E
Practice Address - Street 2:
Practice Address - City:LAKE MILLS
Practice Address - State:IA
Practice Address - Zip Code:50450-1427
Practice Address - Country:US
Practice Address - Phone:507-383-5052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center