Individual
LOLA M. DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5TH AVE, SCI 128, HINES VA, IL 60141
(707) 202-2702
(707) 202-7960
Mailing address
6939 97TH ST, CHICAGO RIDGE, IL 60415-1187
(708) 233-9883
(708) 202-7960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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