Individual
MS. LOIS M DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 PAVILION AVE, LONG BRANCH, NJ 07740-6413
(732) 571-1535
(732) 571-5115
Mailing address
132 WOODLAND AVE, NEPTUNE CITY, NJ 07753-6317
(732) 361-7963
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN05296100
NJ
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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