Individual
DR. LORENE ANN VAN DAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4870 W KINGSBURY ST, SPRINGFIELD, MO 65802-7710
(417) 299-7602
Mailing address
4870 W KINGSBURY ST, SPRINGFIELD, MO 65802-7710
(417) 299-7602
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
686
MO
Other
Enumeration date
01/28/2007
Last updated
06/10/2010
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