1225074222 NPI number — TERESA L LAMASTERS M.D.

Table of content: TERESA L LAMASTERS M.D. (NPI 1225074222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225074222 NPI number — TERESA L LAMASTERS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMASTERS
Provider First Name:
TERESA
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225074222
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5901 WESTOWN PKWY STE 260
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST DES MOINES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50266-8207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-421-9355
Provider Business Mailing Address Fax Number:
833-760-3763

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5901 WESTOWN PKWY STE 260
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50266-8207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-421-9355
Provider Business Practice Location Address Fax Number:
833-760-3763
Provider Enumeration Date:
06/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  A95114 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 37232 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1225074222 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com