Provider Demographics
NPI:1285714964
Name:SCHWEIGER, LYLA SUE (MD)
Entity type:Individual
Prefix:DR
First Name:LYLA
Middle Name:SUE
Last Name:SCHWEIGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4301 1ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3146
Mailing Address - Country:US
Mailing Address - Phone:319-365-9146
Mailing Address - Fax:319-362-7285
Practice Address - Street 1:4301 1ST AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3146
Practice Address - Country:US
Practice Address - Phone:319-365-9146
Practice Address - Fax:319-362-7285
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA28974207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIA0108OtherJOHN DEERE
IA49758OtherBLUE CROSS