Individual
LAVETTA JEAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3315 UNIVERSITY DR, BISMARCK, ND 58504-7565
(701) 255-3541
Mailing address
3315 UNIVERSITY DR, BISMARCK, ND 58504-7565
(701) 255-3541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R33502
ND
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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