Search › Iowa › 183500000X
Larry Costello
NPI 1740857184 · on the registry since 2021
Practice
- Address
- 4668 N Shore Dr
Clear Lake, IA 50428 - Phone
- (641) 529-0820
- Fax
- (877) 814-4512
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa