Organization
MARY LOU FOLLETT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU FOLLETT FNP (NURSE PRACTITIONER)
(541) 488-1787
Entity
Organization
Contact information
Practice address
2931 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 245-4444
Mailing address
2931 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 245-4444
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
20022001NP
OR
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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