Individual provider · Type 1 NPI
Mark Mogensen, PA-C
Medical Physician Assistant · Lake View, IA
NPI number
1881679900
Active
Practice location
460 N State Rd
Lake View, IA 51450-7307
Other practice locations
- 326 4th St, Lake View, IA 51450-7701 · (712) 830-3170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 001660 (IA) |
Medical Physician Assistant: Definition to come...
About NPI 1881679900
Mark Mogensen, PA-C's National Provider Identifier is 1881679900, issued on Dec 12, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake View, IA. The record was last updated on Jan 7, 2026.