RENEE D LASS
NPI 1043228604
Family Medicine in Davenport, IA

Active since August 03, 2006
4626 PROGRESS DR STE B, DAVENPORT, IA 52807(563) 359-3736(563) 359-0153 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renee D Lass NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE D LASS (NPI 1043228604) is a healthcare organization registered as a family medicine in Davenport, Iowa and active in the NPI registry since August 2006. The organization lists Pam Bell, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1043228604
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRENEE D LASS
Location Address4626 PROGRESS DR STE BDavenport, IA 52807-3485
Mailing Address4626 Progress Dr Ste BDavenport, IA 52807-3485 · (563) 359-3736 · Fax (563) 359-0153
Fax(563) 359-0153
Organization SubpartNo
Authorized OfficialPam BellOffice Mgr · (563) 359-3736
Enumeration DateAugust 3, 2006
Last NPPES UpdateApril 8, 2008
NPI 1043228604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 3589
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4626 PROGRESS DR STE B, Davenport, IA 52807

Other Identifiers 4

Medicare ID-Type UnspecifiedPIN NUMBERIA · I16823
Medicare ID-Type UnspecifiedGROUP NUMBERIA · I16832
Medicaid3444885IA
Medicare UPINH85372IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
4626 PROGRESS DR STE B
DAVENPORT, IA 52807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee D Lass's NPI number?

The NPI number for Renee D Lass is 1043228604. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Renee D Lass located?

Renee D Lass is located at 4626 Progress Dr Ste B, Davenport, IA 52807. The listed phone number is (563) 359-3736.

What is Renee D Lass's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Renee D Lass was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.