Individual
LOIS H HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 9TH ST, SUITE 200, ROCKFORD, IL 61104
(779) 696-2750
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209000314
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209-000314
IL
Other
Enumeration date
10/11/2006
Last updated
02/19/2021
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