Individual
LOIS E BOERBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15402 140TH ST, WALNUT GROVE, MN 56180-5311
(507) 859-2582
Mailing address
15402 140TH ST, WALNUT GROVE, MN 56180-5311
(507) 859-2582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R91174-6
MN
Other
Enumeration date
01/25/2011
Last updated
02/02/2011
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