Provider Demographics
NPI:1104803303
Name:LAIRD, ALAN E (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:E
Last Name:LAIRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 LINCOLN CIR SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1862
Mailing Address - Country:US
Mailing Address - Phone:712-737-2000
Mailing Address - Fax:712-737-2115
Practice Address - Street 1:1000 LINCOLN CIR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1862
Practice Address - Country:US
Practice Address - Phone:712-737-2000
Practice Address - Fax:712-737-2115
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2011-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA26233207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1078337Medicaid
IA05853OtherIOWA BANKERS
IA46294OtherBC/BS ER LOCATION
IA703361023649OtherPREFERRED ONE
IAD48742OtherCOVENTRY HEALTH CARE
IA21215OtherSIOUX VALLEY HEALTH PLAN
IA212OtherMIDLANDS CHOICE
IA426038405OtherCIGNA
IA0117945OtherUNITED HEALTH CARE
IA05853OtherWELLMARK BC/BS
IA42603840551041OtherWPS TRICARE
IA0078337Medicaid
IA0117945OtherMEDICA
IA05853OtherFIRST ADMINISTRATORS
IA05853Medicare PIN
IA21215OtherSIOUX VALLEY HEALTH PLAN
IA080041448Medicare ID - Type UnspecifiedRAILROAD MEDICARE
IA0078337Medicaid