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Individual
LOIS DOMINIQUE WOODSIDE
Active
Individual
LOIS DOMINIQUE WOODSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ15452500
NJ
363L00000X
Nurse Practitioner
Primary
RN614739
PA
363LP2300X
Primary Care Nurse Practitioner
RN614739
PA
Other
Enumeration date
08/02/2013
Last updated
12/09/2025
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