Individual
DR. LOIS JEAN VAN TOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
46 PRINCE ST., SUITE 2004, ROCHESTER, NY 14607-1023
(585) 351-2893
(585) 216-1258
Mailing address
46 PRINCE ST., SUITE 2004, ROCHESTER, NY 14607-1023
(585) 351-2893
(585) 216-1258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236200-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02676704
—
NY
Enumeration date
06/17/2006
Last updated
06/26/2012
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