Provider Demographics
NPI:1548844285
Name:SWAKA, LOUIS LADO KAMILLO
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:LADO KAMILLO
Last Name:SWAKA
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:LOUIS
Other - Middle Name:LADO KAMILLO
Other - Last Name:SWAKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2214 MUSCATINE AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6600
Mailing Address - Country:US
Mailing Address - Phone:319-354-2670
Mailing Address - Fax:
Practice Address - Street 1:2214 MUSCATINE AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6600
Practice Address - Country:US
Practice Address - Phone:319-354-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist