Individual
LOIS JAYNE FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
761 45TH ST STE 110, MUNSTER, IN 46321-2899
(219) 922-3020
(219) 922-3023
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28204028A
IN
163WN1003X
Nutrition Support Registered Nurse
28204028A
IN
Other
Enumeration date
07/05/2021
Last updated
07/20/2023
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