All Medicaid billing entities listing LICANDRO, JAMES (OWNER/PHYSICIAN) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Iowa | 1 | $48K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PREMIER PODIATRY | LONG GROVE, IA | Podiatrist | $48K |